Occurrence and characterization of Pain in immune-mediated neuropathies: a multicentre prospective study

Eur J Neurol. 2011 Jan;18(1):177-83. doi: 10.1111/j.1468-1331.2010.03108.x.

Abstract

Background: pain is a common symptom of peripheral neuropathies that may severely affect patients' Quality of Life. Pain questionnaires, based on verbal descriptors, are a useful way to investigate it.

Methods: we performed a multicentre study through validated measures to characterize pain in a sample of consecutive patients affected by immune-mediated neuropathies.

Results: ninety-three patients were enrolled in 16 Italian centres. Based on the numeric rating scale, almost half of the patients complained of moderate pain and one-third of the patients severe pain. Overall, up to 50% of our patients with immune-mediated neuropathies complained of neuropathic pain. The most common neuropathic symptoms were paraesthesia/dysesthesia and superficial spontaneous pain. Surprisingly, also patients with neuropathies commonly thought to be painless (such as multifocal motor neuropathy) reported discomfort and painful symptoms.

Conclusions: pain questionnaires should be considered in the clinical evaluation of immune-mediated neuropathies, also when evaluating therapy efficacy, because they may provide clinicians with useful information on painful symptoms and patients' quality of life.

Publication types

  • Multicenter Study

MeSH terms

  • Analysis of Variance
  • Female
  • Humans
  • Male
  • Pain / diagnosis
  • Pain / etiology*
  • Pain / immunology
  • Pain Measurement
  • Peripheral Nervous System Diseases / complications*
  • Peripheral Nervous System Diseases / immunology
  • Prospective Studies
  • Quality of Life
  • Severity of Illness Index
  • Surveys and Questionnaires