Guillain-Barré syndrome in children – High occurrence of Miller Fisher syndrome in East Asian region

Autor: Annie Ting Gee Chiu, Ricky Wing Ki Chan, Maggie Lo Yee Yau, Angus Chi Lap Yuen, Alva King Fai Lam, Shirley Wai Yin Lau, Alan Ming Chung Lau, Sharon Tsui Hang Fung, Kam Hung Ma, Christine Wai Ling Lau, Man Mut Yau, Chun Hung Ko, Kwing Wan Tsui, Che Kwan Ma, Shuk Mui Tai, Eric Kin Cheong Yau, Eva Fung, Shun Ping Wu, Karen Ling Kwong, Sophelia Hoi Shan Chan
Rok vydání: 2022
Předmět:
Zdroj: Brain and Development. 44:715-724
ISSN: 0387-7604
DOI: 10.1016/j.braindev.2022.07.003
Popis: Guillain-Barré syndrome (GBS) is a rare acquired immune-mediated polyneuropathy. Updated population-based data concerning paediatric GBS is needed.Paediatric patients aged below 18 years diagnosed with GBS between 2009 and 2018 in all 11 paediatric departments in Hong Kong were identified from the Hong Kong Hospital Authority Clinical Data Analysis and Reporting System. The collected data from medical health records were reviewed by paediatric neurologist from each department. Estimated incidence of paediatric GBS was calculated. We also compared our findings with other paediatric GBS studies in Asia.63 subjects of paediatric GBS were identified, giving an estimated annual incidence of 0.62 per 100,000 population. Half of the subjects had acute inflammatory demyelinating polyneuropathy (AIDP) (n = 31; 49.2%), one quarter had Miller Fisher Syndrome (MFS) (n = 16; 25.4%), one-fifth had axonal types of GBS (n = 12; 19.0%), and four were unclassified. Paediatric subjects with axonal subtypes of GBS compared to the other 2 subtypes, had significantly higher intensive care unit (ICU) admission rates (p = 0.001) and longest length of stay (p = 0.009). With immunomodulating therapy, complete recovery was highest in those with MFS (100%), followed by AIDP (87.1%) and axonal GBS (75%). Our study also confirms a higher MFS rate for paediatric GBS in East Asia region and our study has the highest MFS rate (25.4%).Our population-based 10-year paediatric GBS study provides updated evidence on estimated incidence, healthcare burden and motor outcome of each subtype of paediatric GBS and confirmed a higher occurrence of paediatric MFS in East Asia.
Databáze: OpenAIRE
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