Demyelinating polyneuropathy associated with chronic inactive hepatitis B infection.

Autor: Babatin MA; King Fahad Hospital Jeddah, Jeddah, Makkah, Saudi Arabia dmbabatin@hotmail.com., AlJohani A; King Fahad Hospital Jeddah, Jeddah, Makkah, Saudi Arabia.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2021 Mar 25; Vol. 14 (3). Date of Electronic Publication: 2021 Mar 25.
DOI: 10.1136/bcr-2020-237070
Abstrakt: This is a case report of a 42-year-old female patient with chronic inactive hepatitis B virus (HBV) infection who presented with relapsing chronic inflammatory demyelinating polyneuropathy (CIDP). Her initial attack was of acute onset (ie, acute CIDP) resembling Guillain-Barré syndrome that responded well to intravenous immunoglobulin (IVIG) therapy. The second episode was chronic and refractory to IVIG. She was managed with plasma exchange, long-term corticosteroids, immunosuppressants and HBV antiviral therapy. She showed both clinical and electromyographic improvement, with no recurrence after 2 years of follow-up.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE