급성 A형 간염 후 발생한 항 GM1과 GD1b 항체양성 길랑-바레증후군
Guillain-Barre Syndrome With anti-GM1 and GD1b Antibodies Following Acute Hepatitis A
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Guillain-Barre syndrome (GBS) rarely develops following acute viral hepatitis, and there has been no report on the association with anti-ganglioside antibodies. Herein, we report a 36-year-old man who presented with rapidly progressive areflexic quadriparesis following acute viral hepatitis A. The results of nerve conduction study were consistent with demyelinating motor polyneuropathy, and IgG anti-GM1 and anti-GD1b antibodies were positive. Immune responses towards gangliosides may also be important mediators in acute hepatitis A-associated GBS.
Abstract
Guillain-Barre syndrome (GBS) rarely develops following acute viral hepatitis, and there has been no report on the association with anti-ganglioside antibodies. Herein, we report a 36-year-old man who presented with rapidly progressive areflexic quadriparesis following acute viral hepatitis A. The results of nerve conduction study were consistent with demyelinating motor polyneuropathy, and IgG anti-GM1 and anti-GD1b antibodies were positive. Immune responses towards gangliosides may also be important mediators in acute hepatitis A-associated GBS.
참고문헌 (10)
- Ang CW, "The Guillain-Barre syndrome: a true case of molecular mimicry", Trends Immunol, 25, pp.61~66 (2004)
- Park JH, "Understanding of Neuroimmunology: Multiple sclerosis and Guillain-Barre syndrome", J Korean Neurol Assoc, 21, pp.563~572 (2003)
- Leneman F, "The Guillain-Barre syndrome. Definition, etiology, and review of 1100 cases", Arch Intern Med, 118, pp.139~144 (1966)
- Singh NK, "Guillain-Barre syndrome in acute viral hepatitis", J Assoc Phyusicians India, 33, pp.439~ (1985)
- Obara D, "A case with hepatitis A-associated Guillain-Barre syndrome and elevated serum anti-sulfatide antibody", Rinsho Shinkeigaku, 43, pp.38~40 (2003)
- Berger JR, "Guillain-Barre syndrome complicating acute hepatitis B. A case with detailed electrophysiological and immunological studies", Arch Neurol, 38, pp.366~368 (1981)
- Ono S, "Guillain-Barre syndrome following fulminant viral hepatitis", A. Intern Med, 33, pp.799~801 (1994)
- Kang BH, "Fulminant Guillain-Barre syndrome mimicking cerebral death following acute viral hepatitis", A. J Clin Neurol, 3, pp.105~107 (2007)
- Gordon PH, "Early electrodiagnostic findings in Guillain- Barre syndrome", Arch Neurol, 58, pp.913~917 (2001)
- Albers JW, "Sequential electrodiagnostic abnormalities in acute inflammatory demyelinating polyradiculopathy", Muscle Nerve, 8, pp.528~539 (1985)