Confluent peripheral multiple mononeuropathy associated to acute hepatitis B: a case report
Rev. Inst. Med. Trop. Säo Paulo
;
44(3): 171-173, 2002. ilus
Article
in English
| LILACS, SES-SP
| ID: lil-314547
ABSTRACT
A thirty three year-old, male patient was admitted at the Hospital of the Säo Paulo University School of Medicine, at the city of Säo Paulo, Brazil, with complaint of pains, tingling and decreased sensibility in the right hand for the last four months. This had progressed to the left hand, left foot and right foot, in addition to a difficulty of flexing and stretching in the left foot. Tests were positive for HBeAg, IgM anti-HBc and HBsAg, thus characterizing the condition of acute hepatitis B. The ALT serum level was 15 times above the upper normal limit. Blood glucose, cerebral spinal fluid, antinuclear antibodies (ANA) and anti-HIV and anti-HCV serum tests were either normal or negative. Electroneuromyography disclosed severe peripheral neuropathy with an axon prevalence and signs of denervation; nerve biopsy disclosed intense vasculitis. The diagnosis of multiple confluent mononeuropathy associated to acute hepatitis B was done. This association is not often reported in international literature and its probable cause is the direct action of the hepatitis B virus on the nerves or a vasculitis of the vasa nervorum brought about by deposits of immune complexes
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Mononeuropathies
/
Hepatitis B
Type of study:
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Rev. Inst. Med. Trop. Säo Paulo
Year:
2002
Type:
Article
Institution/Affiliation country:
FMUSP/BR
/
São Paulo University/BR
/
Säo Paulo University/BR
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