Adult-onset hereditary sensory and autonomic neuropathy accompanied by anosmia but without skin ulceration

Antibodies to dorsal root ganglia and olfactory cells in a patient with chronic sensory neuropathy and anosmia

We report the case of a 51-year-old woman with anosmia and chronic sensory ataxic neuropathy. Olfactory tests suggested neurosensory anosmia. Immunocytochemical analysis showed serum antibodies against dorsal root ganglion (DRG) cells and olfactory neurons, in the absence of other known causes of anosmia and sensory neuropathy. Clinical and laboratory data suggested a slow autoimmune process affecting dorsal root ganglion and olfactory cells.