본문 바로가기
KERD
논문KCI 등재

Mononeuropathy Multiplex in a Patient with Chronic Active Hepatitis B

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Background: Mononeuropathy multiplex is a rare complication during the course of chronic hepatitis B, despite various neuropathies following acute hepatitis B having been reported previously. Case Report: A 30-year-old man presented with sensorimotor symptoms in multiple peripheral nerves. The serological tests for hepatitis were consistent with chronic active hepatitis B. After treatment with oral prednisone combined with an antiviral agent, the sensory and motor symptoms improved and hepatitis B virus replication was reduced. Conclusions: We suggest that chronic immune-mediated neuropathy associated with hepatitis B virus infection should be considered in the differential diagnosis of patients with hepatitis B.

Abstract

Background: Mononeuropathy multiplex is a rare complication during the course of chronic hepatitis B, despite various neuropathies following acute hepatitis B having been reported previously. Case Report: A 30-year-old man presented with sensorimotor symptoms in multiple peripheral nerves. The serological tests for hepatitis were consistent with chronic active hepatitis B. After treatment with oral prednisone combined with an antiviral agent, the sensory and motor symptoms improved and hepatitis B virus replication was reduced. Conclusions: We suggest that chronic immune-mediated neuropathy associated with hepatitis B virus infection should be considered in the differential diagnosis of patients with hepatitis B.

참고문헌 (11)

  1. Guillevin L, "Polyarteritis nodosa related to hepatitis B virus.A prospective study with long-term observation of 41 patients", Medicine(Baltimore), 74, pp.238~253 (1995)
  2. Tsukada N, "Demyelinating neuropathy associated with hepatitis B virus infection.Detection of immune complexes composed of hepatitis B virus surface antigen", J Neurol Sci, 77, pp.203~216 (1987)
  3. Berger JR, "Guillain-Barré syndrome complicating acute hepatitis B.A case with detailed electrophysiological and immunological studies", Arch Neurol, 38, pp.366~368 (1981)
  4. Lightfoot RW Jr, "The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa", Arthritis Rheum, 33, pp.1088~1093 (1990)
  5. McMahon BJ, "Hepatitis B-associated polyarteritis nodosa in Alaskan Eskimos:clinical and epidemiologic features and long-term follow-up", Hepatology, 9, pp.97~101 (1989)
  6. Bron KM, "The diagnostic value of angiographic observations in polyarteritis nodosa.A case of mul tiple aneurysms in the visceral organs", Arch Intern Med, 116, pp.450~454 (1965)
  7. Hekali P, "Diagnostic significance of angiographically observed visceral aneurysms with regard to polyarteritis nodosa", Acta Radiol, 32, pp.143~148 (1991)
  8. "Case records of the Massachusetts General Hospital.Weekly clinicopathological exercises.Case 36-1985.Accelerated hypertension and impaired renal function in a 24-year-old man with a history of illicit drug abuse and hepatitis B infection", N Engl J Med, 313, pp.622~631 (1985)
  9. Sander HW, "Research criteria for defining patients with CIDP", Neurology, 60(8 suppl 3), pp.S8~S15 (2003)
  10. Hanazaki K, "Antiviral therapy for chronic hepatitis B:a review", Curr Drug Targets Inflamm Allergy, 3, pp.63~70 (2004)
  11. Shusterman N, "Hepatitis B and immune-complex disease", N Engl J Med, 310, pp.43~46 (1984)

관련 논문AI추천

이 간행물의 다른 논문 (7건)