{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T23:14:31Z","timestamp":1768086871532,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T00:00:00Z","timestamp":1500854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001349","name":"Singapore National Medical Research Council","doi-asserted-by":"crossref","award":["IRG 10nov086"],"award-info":[{"award-number":["IRG 10nov086"]}],"id":[{"id":"10.13039\/501100001349","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001349","name":"Singapore National Medical Research Council","doi-asserted-by":"crossref","award":["CSA\/047\/2012"],"award-info":[{"award-number":["CSA\/047\/2012"]}],"id":[{"id":"10.13039\/501100001349","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Agence Nationale pour la Recherche"},{"name":"ERA-Net for Research on Rare Diseases"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We present a painful small\u2010fiber neuropathy variant of Guillain\u2010Barr\u00e9 syndrome characterized by antecedent infectious symptoms, hyporeflexia, and albuminocytologic dissociation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two patients received intravenous immunoglobulin, one corticosteroids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients subsequently improved. Immunoglobulin G (IgG) antibodies in their acute phase sera strongly bound to murine small nerve fibers, and the binding disappeared during the convalescent phase. Serum transfer to a murine nociceptive model induced transient alteration in thermal pain responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our case series suggest that an acute transient immune response can be directed against small nerve fibers, and that patients so affected can exhibit features of Guillain\u2010Barr\u00e9 syndrome. <jats:italic>Muscle Nerve<\/jats:italic> <jats:bold>57<\/jats:bold>: 320\u2013324, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.25738","type":"journal-article","created":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T08:02:42Z","timestamp":1498896162000},"page":"320-324","source":"Crossref","is-referenced-by-count":37,"title":["Acute painful autoimmune neuropathy: A variant of Guillain\u2010Barr\u00e9 syndrome"],"prefix":"10.1002","volume":"57","author":[{"given":"Nobuhiro","family":"Yuki","sequence":"first","affiliation":[{"name":"Department of Medicine Yong Loo Lin School of Medicine, National University Singapore 1E Kent Ridge Road, Singapore 119228"},{"name":"Department of Physiology Yong Loo Lin School of Medicine, National University Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda C.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Neurology National University Hospital Systems  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Hiu Yi","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Medicine Yong Loo Lin School of Medicine, National University Singapore 1E Kent Ridge Road, Singapore 119228"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Medicine Yong Loo Lin School of Medicine, National University Singapore 1E Kent Ridge Road, Singapore 119228"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Yokai","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kurihara","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4Me J.","family":"Devaux","sequence":"additional","affiliation":[{"name":"Aix\u2010Marseille Universit\u00e9, CNRS, CRN2M\u2010UMR 7286 Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3402-7503","authenticated-orcid":false,"given":"Einar","family":"Wilder\u2010Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine Yong Loo Lin School of Medicine, National University Singapore 1E Kent Ridge Road, Singapore 119228"},{"name":"Department of Neurology National University Hospital Systems  Singapore"},{"name":"Department of Neurology Kantonsspital Luzern  Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2012.97"},{"issue":"19","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"e146","DOI":"10.1212\/WNL.0000000000001559","article-title":"Clinical reasoning: burning hands and feet","volume":"84","author":"Chan AC","year":"2015","journal-title":"Neurology"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-006-0147-6"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0014-2999(80)90515-4"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.100124197"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.231376298"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1085-9489.2006.00062.x"},{"issue":"4","key":"e_1_2_7_9_1","first-page":"540","article-title":"Acute small fibre sensory neuropathy: another variant of Guillain\u2010Barre syndrome?","volume":"72","author":"Seneviratne U","year":"2002","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1114525"},{"issue":"2","key":"e_1_2_7_11_1","first-page":"CD001446","article-title":"Corticosteroids for Guillain\u2010Barr\u00e9 syndrome","author":"Hughes RAC","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2009.09.077"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21865"}],"container-title":["Muscle &amp; 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