An epidemiologic, clinical, and therapeutic study of childhood Guillain-Barré syndrome in Kuwait: is it related to the oral polio vaccine?
| Autor: | M. Zaki, Samir Madi, Qusai Al-saleh, Hani Nadi, Mona Badawi, Issa S. Shabani, Asmaa Al-Tawari, Hala Sanaa, Essam A.R. Ismail |
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| Rok vydání: | 1998 |
| Předmět: |
Axonal neuropathy
Male Pediatrics medicine.medical_specialty Population Polyradiculoneuropathy Disease Annual incidence 03 medical and health sciences 0302 clinical medicine Sex Factors 030225 pediatrics Female patient medicine Humans education Child education.field_of_study Guillain-Barre syndrome business.industry Incidence Immunization Passive Infant Oral polio vaccine medicine.disease Prognosis Surgery Kuwait Male patient Motor Skills Child Preschool Poliovirus Vaccine Oral Pediatrics Perinatology and Child Health Female Neurology (clinical) Seasons business 030217 neurology & neurosurgery |
| Zdroj: | Journal of child neurology. 13(10) |
| ISSN: | 0883-0738 |
| Popis: | We studied Guillain-Barré syndrome, affecting children 12 years old or less, throughout Kuwait, in the period between January 1, 1992, and March 31, 1997. Nineteen children had the diagnostic criteria of Guillain-Barré syndrome, with an overall annual incidence rate of 0.95/100,000 population at risk. Female patients outnumbered male patients with a sex ratio of 1.4:1. There was a clustering of cases in winter and spring and in the year 1996. The disease symptoms were relatively severe in our patients because only 16% (3 of 19) of them were able to walk at the height of their illness, whereas the rest were bed or chair bound or needed assisted ventilation. Two patients had the electrodiagnostic features of axonal neuropathy and both had residual deficits on follow-up, whereas the rest recovered fully. All the patients received intravenous immunoglobulin. The mean time to walk unaided was 23.5 days (range, 2-84 days) after intravenous immunoglobulin and excluding the two patients with axonal neuropathy, and full recovery was achieved in a mean time of 103 days (range, 30-300 days). Contrary to previous studies, we found no correlation between oral polio vaccine administration and Guillain-Barré syndrome in 2 successive years (1995 and 1996) during a nationwide campaign targeting children less than 5 years old. (J Child Neut-ol 1998; 13:488-492). |
| Databáze: | OpenAIRE |
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