Objective:: To report familial occurrence of polyneuropathy associated with
monoclonal gammopathy.
Design: Case reports.
Patients: We describe 6 patients (3 pairs) with a polyneuropathy associated
with IgM monoclonal gammopathy. Four of the 6 patients had a demyelinating
polyneuropathy on neurophysiological examination. Three patients had eleva
ted antibodies against myelin-associated glycoprotein. No duplication on ch
romosome 17 or a mutation on chromosome 1 was found in any family.
Conclusion: Familial occurrence of polyneuropathy without the presence of h
ereditary motor and sensory neuropathy type I is a reason to search for the
presence of monoclonal gammopathy.