MONONEURITIS MULTIPLEX AS THE PRESENTING FEATURE OF A SYSTEMIC GRANULOMATOSIS

We report two young patients with a painful and rapidly progressive po lyneuropathy of the mononeuritis multiplex type confinding them to bed . Extensive investigations led to the diagnosis of a granulomatosis in both: Churg-Strauss allergic granulomatosis in one and Wegener's gran ulomatosis in the other. The importance and frequency of peripheral ne rvous system manifestations in the presenting clinical pattern of a sy stemic granulomatosis and vasculitis are discussed. Their proper recog nition with regard to available effective therapeutic measures is stre ssed.