Sporadic Non-A, Non-B Hepatitis and Epstein-Barr Hepatitis Associated With the Guillain-Barre Syndrome

Macleod, William N.

doi:10.1001/archneur.1987.00520160068017

Cited by 14 publications

(10 citation statements)

References 32 publications

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“…Although a causal relationship between hepatitis C and Guillain-Barre syndrome could not be completely ascertained in these two patients, because the prevalence of both diseases allows theoretically for a fortuitous association, the first patient is very similar to other reported cases (6)(7)(8)(9)(10). In the second patient, hepatitis C could be a trigger of autoimmune manifestations in an individual prone to autoimmunity.…”

Section: Discussionsupporting

confidence: 55%

“…Since then a number of cases of either full-blown icteric hepatitis or asymptomatic rise of transaminases, contemporaneous of the acute phase of GBS, have been described (610). The causative viruses were the hepatitis A (9) or B (6,7,9) viruses, cytomegalovirus (3), Epstein-Barr virus (8), or unknown viruses, called "non-A, non-B" before the advent of serological testing for hepatitis C (3,8,9). Hepatitis C has already been linked in one patient to the appearance of GBS (10).…”

Section: Discussionmentioning

confidence: 99%

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Hepatitis C associated with Guillain‐Barré syndrome

Lacaille

Zylberberg

Hagège

et al. 1998

Liver

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Hepatitis C is frequently associated with immune-mediated diseases, such as cryoglobulinemia. Guillain-Barre syndrome is an acute demyelinating neuropathy of probable immune pathogenesis. We describe two patients with Guillain-Barre syndrome, and associated chronic hepatitis C, the second one previously treated with interferon. The link between both conditions may be hepatitis C being the trigger of this immune polyneuropathy. Guillain-Barre syndrome should be added to the list of conditions associated with hepatitis C. Case reports Patient 1A 5 1-year-old man was first seen for paresthesias and rapidly progressive weakness of all four limbs. He had probably received a blood transfusion 15 years earlier following a car injury. Neurological examination disclosed paresis of four limbs, and areflexia. Blood tests showed abnormal liver enzymes (ALT 375 IU, AST 225 IU, GGT 175 IU). Cerebrospinal fluid was normal. Anti-HCV antibodies were positive on ELISA and RIBA (second generation assays). No auto-antibodies were found. Electromyography showed an asymmetrical axono-myelinic polyradiculoneuritis suggestive of Guillain-Barre syndrome. Paralysis of respiratory

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Hepatitis C associated with Guillain‐Barré syndrome

Lacaille

Zylberberg

Hagège

et al. 1998

Liver

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“…A connection between Guillain-Barré syndrome and non-A non-B hepatitis has been suggested, 6 but the close temporal relation makes heat stroke a more probable cause of the disease in our patient. His high anti-GM1 antibodies suggested immune mediation.…”

Section: Guillain-barré Syndrome After Heat Strokementioning

confidence: 54%

Childhood demyelinating diseases with a prolonged remitting course and their relation to Schilder's disease: report of two cases

Leuzzi¹,

Lyon²,

Cilio³

et al. 1999

Journal of Neurology, Neurosurgery & Psychiatry

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“…54 A patient with small-fiber sensory neuropathy, restless leg syndrome, and hepatitis C infection without associated cryoglobulinemia has been reported recently. 165 Hepatitis A, 113 hepatitis B, 14,71,173,174 and Epstein-Barr viral infections 95 of the liver have been reported as antecedents to GBS. Chronic inflammatory demyelinating neuropathies have been diagnosed in the setting of viral hepatitis.…”

mentioning

confidence: 99%

Neuromuscular diseases and disorders of the alimentary system

2002

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This review outlines the relationship and interaction between neuromuscular diseases and disorders of the alimentary system. Neuromuscular manifestations of gastrointestinal and hepatobiliary diseases are first considered. Such diseases may cause neuromuscular disorders by leading to nutritional deficiency or by more direct mechanisms. The pathogenesis, clinical features, and treatment of these various neuromuscular manifestations are discussed. The impact of disorders of nerve, neuromuscular transmission, and muscle on the alimentary system is then reviewed. The main sequelae are impaired deglutition and gastrointestinal dysmotility. The management of these complications is considered.

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Sporadic Non-A, Non-B Hepatitis and Epstein-Barr Hepatitis Associated With the Guillain-Barre Syndrome

Cited by 14 publications

References 32 publications

Hepatitis C associated with Guillain‐Barré syndrome

Hepatitis C associated with Guillain‐Barré syndrome

Childhood demyelinating diseases with a prolonged remitting course and their relation to Schilder's disease: report of two cases

Neuromuscular diseases and disorders of the alimentary system

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