{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:35:35Z","timestamp":1782416135478,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,10,29]],"date-time":"2014-10-29T00:00:00Z","timestamp":1414540800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Scholarly Research Notices"],"published-print":{"date-parts":[[2014,10,29]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Since 2008, we have observed an increasing number of Myanmarese refugees in Malaysia being admitted for acute\/subacute onset peripheral neuropathy. Most of them had a preceding history of starvation. <jats:italic>Methods<\/jats:italic>. We retrospectively studied the clinical features of all Myanmarese patients admitted with peripheral neuropathy from September 2008 to January 2014. <jats:italic>Results<\/jats:italic>. A total of 24 patients from the Chin, Rohingya, and Rakhine ethnicities (mean age, 23.8 years; male, 96%) had symmetrical, ascending areflexic weakness with at least one additional presenting symptom of fever, lower limb swelling, vomiting, abdominal pain, or difficulty in breathing. Twenty (83.3%) had sensory symptoms. Ten (41.6%) had cranial nerve involvement. Nineteen patients had cerebrospinal fluid examinations but none with evidence of albuminocytological dissociation. Neurophysiological assessment revealed axonal polyneuropathy, predominantly a motor-sensory subtype. Folate and vitamin B<jats:sub>12<\/jats:sub> deficiencies were detected in 31.5% of them. These findings suggested the presence of a polyneuropathy related to nutrition against a backdrop of other possible environmental factors such as infections, metabolic disorders, or exposure to unknown toxin. Supportive treatment with appropriate vitamins supplementation improved functional outcome in most patients. <jats:italic>Conclusion<\/jats:italic>. We report a spectrum of acquired reversible neurological manifestations among Myanmarese refugees likely to be multifactorial with micronutrient deficiencies playing an important role in the pathogenesis.<\/jats:p>","DOI":"10.1155\/2014\/187823","type":"journal-article","created":{"date-parts":[[2014,10,29]],"date-time":"2014-10-29T21:01:31Z","timestamp":1414616491000},"page":"1-8","source":"Crossref","is-referenced-by-count":5,"title":["Myanmarese Neuropathy: Clinical Description of Acute Peripheral Neuropathy Detected among Myanmarese Refugees in Malaysia"],"prefix":"10.1155","volume":"2014","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4708-3734","authenticated-orcid":true,"given":"Hiew","family":"Fu Liong","sequence":"first","affiliation":[{"name":"Neurology Department, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Datuk Puvanarajah","family":"Santhi","sequence":"additional","affiliation":[{"name":"Neurology Department, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viswanathan","family":"Shanthi","sequence":"additional","affiliation":[{"name":"Neurology Department, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafia","family":"Mohd Hanip","sequence":"additional","affiliation":[{"name":"Neurology Department, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"8093","key":"1","first-page":"750","volume":"2","year":"1978","journal-title":"The Lancet"},{"issue":"4","key":"2","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1093\/ajcn\/18.4.275","volume":"18","year":"1966","journal-title":"The American Journal of Clinical Nutrition"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3549(04)50217-0"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/608534"},{"issue":"3","key":"7","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1177\/156482650702800304","volume":"28","year":"2007","journal-title":"Food and Nutrition Bulletin"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0057998"},{"key":"9","year":"1999"},{"issue":"3","key":"13","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1093\/ajcn\/64.3.347","volume":"64","year":"1996","journal-title":"American Journal of Clinical Nutrition"},{"issue":"3","key":"14","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1093\/ajcn\/64.3.383","volume":"64","year":"1996","journal-title":"The American Journal of Clinical Nutrition"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1978.00500330029005"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-008-0660-x"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.65.6.822"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1002\/mus.22319"},{"issue":"11","key":"19","doi-asserted-by":"crossref","first-page":"4521","DOI":"10.3390\/nu5114521","volume":"5","year":"2013","journal-title":"Nutrients"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2011.03602.x"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.182097"}],"container-title":["International Scholarly Research Notices"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/2014\/187823.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2014\/187823.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2014\/187823.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,9]],"date-time":"2020-12-09T08:23:45Z","timestamp":1607502225000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/isrn\/2014\/187823\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,29]]},"references-count":16,"alternative-id":["187823","187823"],"URL":"https:\/\/doi.org\/10.1155\/2014\/187823","relation":{},"ISSN":["2356-7872"],"issn-type":[{"value":"2356-7872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,29]]}}}