LEMS
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of LEMS Criterion 1 and 2 or 1 and 3 have to be fulfilled 1. Clinical features consistent with LEMS (proximal muscle weakness, reduced tendon reflexes, autonomic symptoms) 2. Abnormalities upon repetitive nerve stimulation (decrement of CMAP amplitude and/or increment after voluntary contraction or high frequency stimulation) 3. Presence of VGCC antibodies;Diagnosis of SCLC Definitive diagnosis of SCLC based on pathology results (either cytology or histology).
Exclusion criteria
Exclusion criteria: * Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Description of epidemiology, clinical characteristics and disease course in LEMS patients. Comparison of the humoral and cellular immune response in LEMS patients and SCLC patients with and without LEMS. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Tumour size on lung imaging studies and growth rate upon follow-up. - DELTA-P score tumor prediction score in LEMS patients, diagnosis of SCLC upon follow-up - Presence of other auto-antibodies possibly related to LEMS - Tumour infiltration of SCLC by lymphocytes and macrophages (+- LEMS) - Anti-tumour effect of serum VGCC antibodies and related macrophage and adaptive response in vitro - Presence of specific T cells against tumour-related antigens - Patients' experience with symptomatic medication for LEMS | — |
Countries
Netherlands