Clinical and Molecular Hepatology (대한간학회지)

The Korean Association for the Study of the Liver (대한간학회)
권호 표지

A Case of Acute Hepatitis A Complicated by Guillain-$Barr\acute{e}$ Syndrome

급성 A형간염 후 발생한 Guillain-$Barr\acute{e}$ 증후군 1예

Bae, Yun-Jeong;Kim, Kang-Mo;Kim, Kwang-Kuk;Rho, Jae-Hyung;Lee, Hyun-Ki;Lee, Yung-Sang;Suh, Dong-Jin
배윤정;김강모;김광국;노재형;이현기;이영상;서동진

  • Published : 2007.06.25
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Abstract

We report here a case of acute hepatitis A, which was complicated by Guillain-Barré syndrome (GBS). A 32-year old male admitted to our hospital with the symptoms of acute hepatitis and was diagnosed to have acute hepatitis A with positive IgM anti hepatitis A virus antibody. On 9th day after the onset of jaundice, acute progressive, ascending, symmetric motor paralysis were developed and eventually respiratory failure ensued. Cerebrospinal fluid analysis showed albumino-cytologic dissociation and nerve conduction velocity test suggested a polyradiculopathy. He was diagnosed to have GBS and treated with intravenous immunoglobulin and required a ventilatory support. After 90 hospital days, he recovered in ambulatory condition with the aid of crutches. The clinical course, prognosis and the outcome of neuropathic symptoms of GBS following acute hepatitis A were relatively poor in our case. (Korean J Hepatol 2007;13:228-233)

Keywords

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