Complications

Complication
Timeframe
Likelihood
short term
low

Respiratory failure requiring intubation is rare and occurs in <10% of patients with CIDP. It is likely to be due to a combination of oropharyngeal and diaphragmatic weakness.[4]​​[70][72]

Intensive care unit monitoring is warranted in cases with impending respiratory failure.

short term
low

Rare, and likely to occur in people with oropharyngeal and diaphragmatic weakness or respiratory failure.

Prophylactic intubation to protect the airway in patients with severe swallowing difficulties may be necessary.

variable
high

Reports have highlighted mild autonomic dysfunction in up to 75% of patients with CIDP.[73][74]​ However, severe dysfunction is rare and occurs in <10% of patients.

Signs and symptoms can include palpitations, flushing, sinus tachycardia, urinary incontinence and urgency, diarrhoea, impotence, orthostatic hypotension, and altered sweating.

Detailed autonomic testing such as R-R interval testing, Valsalva manoeuvre, tilt testing, and sympathetic skin responses may uncover mild abnormalities in patients suspected of having autonomic involvement.

variable
low

Severe weakness resulting in quadriplegia is only described rarely.[173]

Long-term complications of quadriplegia include risk of deep vein thrombosis, decubitus ulcers, pain, and contractures.

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