HEPATITIS-C INFECTION, CRYOGLOBULINEMIA, AND VASCULITIC NEUROPATHY - TREATMENT WITH INTERFERON-ALFA - CASE-REPORT AND LITERATURE-REVIEW

被引:90
作者
KHELLA, SL
FROST, S
HERMANN, GA
LEVENTHAL, L
WHYATT, S
SAJID, MA
SCHERER, SS
机构
[1] UNIV PENN,SCH MED,DEPT NEUROL,PHILADELPHIA,PA 19104
[2] UNIV PENN,SCH MED,DEPT MED,PHILADELPHIA,PA 19104
[3] UNIV PENN,SCH MED,DEPT PATHOL,PHILADELPHIA,PA 19104
[4] HOSP UNIV PENN,PHILADELPHIA,PA 19104
关键词
D O I
10.1212/WNL.45.3.407
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A patient with mononeuropathy multiplex, hepatitis C viral infection, and mixed cryoglobulinemia had axonal degeneration by EMG and vasculitis of the epineurial vessels on sural nerve biopsy. There was no evidence of viral particles in the nerve by immunofluorescence. Treatment with interferon alfa improved the patient's symptoms and cleared the hepatitis C viral RNA and cryoglobulins from the serum.
引用
收藏
页码:407 / 411
页数:5
相关论文
共 42 条
  • [1] A ROLE FOR HEPATITIS-C VIRUS-INFECTION IN TYPE-II CRYOGLOBULINEMIA
    AGNELLO, V
    CHUNG, RT
    KAPLAN, LM
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (21) : 1490 - 1495
  • [2] DETECTION OF ANTIBODY TO HEPATITIS-C VIRUS IN PROSPECTIVELY FOLLOWED TRANSFUSION RECIPIENTS WITH ACUTE AND CHRONIC NON-A-HEPATITIS, NON-B-HEPATITIS
    ALTER, HJ
    PURCELL, RH
    SHIH, JW
    MELPOLDER, JC
    HOUGHTON, M
    CHOO, QL
    KUO, G
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (22) : 1494 - 1500
  • [3] HIGH-INCIDENCE OF HEPATITIS-C VIRUS-INFECTION IN PATIENTS WITH CRYOGLOBULINEMIC NEUROPATHY
    AUTHIER, FJ
    PAWLOTSKY, JM
    VIARD, JP
    GUILLEVIN, L
    DEGOS, JD
    GHERARDI, RK
    [J]. ANNALS OF NEUROLOGY, 1993, 34 (05) : 749 - 750
  • [4] HEPATITIS-C RNA IN LIVER OF CHRONIC HEPATITIS-C PATIENTS BEFORE AND AFTER INTERFERON ALFA TREATMENT
    BALART, LA
    PERRILLO, R
    RODDENBERRY, J
    REGENSTEIN, F
    SHIM, KS
    SHIEH, SC
    TAYLOR, B
    DASH, S
    GERBER, MA
    [J]. GASTROENTEROLOGY, 1993, 104 (05) : 1472 - 1477
  • [5] TREATMENT OF IDIOPATHIC MIXED CRYOGLOBULINEMIA WITH ALPHA-INTERFERON
    BONOMO, L
    CASATO, M
    AFELTRA, A
    CACCAVO, D
    [J]. AMERICAN JOURNAL OF MEDICINE, 1987, 83 (04) : 726 - 730
  • [6] BROUET JC, 1974, AM J MED, V57, P775, DOI 10.1016/0002-9343(74)90852-3
  • [7] CASATO M, 1991, BLOOD, V78, P3142
  • [8] A CLINICOPATHOLOGICAL AND FOLLOW-UP-STUDY OF 10 CASES OF ESSENTIAL TYPE-II CRYOGLOBULINEMIC NEUROPATHY
    CAVALETTI, G
    PETRUCCIOLI, MG
    CRESPI, V
    PIOLTELLI, P
    MARMIROLI, P
    TREDICI, G
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (10) : 886 - 889
  • [9] THE PATHOGENESIS OF CRYOGLOBULINEMIC NEUROPATHY
    CHAD, D
    PARISER, K
    BRADLEY, WG
    ADELMAN, LS
    PINN, VW
    [J]. NEUROLOGY, 1982, 32 (07) : 725 - 729
  • [10] MIXED OR IMMUNE-COMPLEX CRYOGLOBULINEMIA AND NEUROPATHY
    CREAM, JJ
    HERN, JEC
    HUGHES, RAC
    MACKENZIE, IC
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1974, 37 (01) : 82 - 87