GUILLAIN-BARRE-SYNDROME FOLLOWING FULMINANT VIRAL HEPATITIS-A

被引:12
作者
ONO, S
CHIDA, K
TAKASU, T
机构
[1] Department of Neurology, Nihon University School of Medicine, Itabashi-ku, Tokyo 173, 30–1, Ohyaguchi-Kamimachi
关键词
ACUTE INFLAMMATORY DEMYELINATING POLYNEUROPATHY; FULMINANT HEPATITIS; CLINICAL FEATURES OF GUILLAIN-BARRE SYNDROME;
D O I
10.2169/internalmedicine.33.799
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Guillain-Barre syndrome (GBS) developed soon after the onset of acute viral hepatitis A (HA) in a 62-year-old man. GBS associated with HA is extremely rare, even though HA is common. In a review of case reports the clinical features of GBS following HA could be summarized as follows: 1) Most of the patients are men. 2) GBS develops within 14 days after the onset of HA. 3) Facial nerve palsy is frequently present. 4) Proprioception is likely impaired in addition to superficial sensation. 5) The outcome of neuropathic symptoms is uniformly good, regardless of the degree of liver dysfunction as evaluated on the basis of alanine aminotransferase levels. These findings indicate that GBS following HA essentially does not differ from typical GBS.
引用
收藏
页码:799 / 801
页数:3
相关论文
共 17 条
[1]  
Pleasure D.E., Schotland D.L., Merritt's Text book of Neurology, (1989)
[2]  
Griffin J.W., Ho T.W., The Guillain-Barre syndrome at 75. The Campylobacter connection, Ann Neurol, 34, (1993)
[3]  
Leneman F., The Guillain-Barre syndrome, Definition, etiology, and review of 1, 100 cases. Arch Intern Med, 118, (1966)
[4]  
Tabor E., Guillain-Barre syndrome and other neurologic syndromes in hepatitis A, B, and non-A, non-B, J Med Virol, 21, (1987)
[5]  
Dienstag J.L., Wands J.R., Isselbacher K.J., Harrison's Principles of Internal Medicine, (1991)
[6]  
Asbury A.K., Comblath D.R., Assessment of current diagnostic criteria for Guillain-Barre syndrome, Ann Neurol, 27, (1990)
[7]  
Byrne E.A.J., Taylor G.F., An outbreak of jaundice with signs in the nervous system, BMJ, 1, (1945)
[8]  
Alter M., The epidemiology of Guillain-Barre syndrome, Ann Neurol, 27, (1990)
[9]  
Johnston C.L.W., Schwartz M., Wansbrough-Jones M.H., Acute inflammatory polyradiculoneuropathy following type A viral hepatitis, Postgrad Med J, 57, (1981)
[10]  
Dunk A., Jenkins W.J., Sherlock S., Guillain-Barre syndrome associated with hepatitis A in a male homosexual, Br J Vener Dis, 58, (1982)