Hepatitis E infection complicated by bilateral neuralgic amyotrophy and phrenic nerve palsy: a case report.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2025-07-01 DOI:10.51821/88.3.14094

E Moortgat, E Hermans, A Derweduwen, P Monballyu, C De Bie, A Van Hootegem

引用次数: 0

Abstract

Hepatitis E is an increasingly recognized cause of acute hepatitis in the Western world and is often complicated by extrahepatic manifestations, particularly neurological ones such as neuralgic amyotrophy (NA). NA is a disease of the brachial plexus, characterized by sudden onset of severe pain and muscle weakness, typically affecting the shoulders and upper limbs and can even extend to the diaphragm. Recent data suggest that its presence is linked to a HEV infection in 10% of the cases. Due to its rarity, there are currently no established treatment guidelines. Here we present a case of a 44-year-old man who developed bilateral NA and phrenic nerve palsy as a consequence of an acute hepatitis E infection.

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戊型肝炎感染并发双侧神经痛性肌萎缩及膈神经麻痹1例。

戊型肝炎在西方世界越来越被认为是急性肝炎的病因，并且经常并发肝外表现，特别是神经系统表现，如神经性肌萎缩症（NA）。NA是一种臂丛疾病，以突然发作的剧烈疼痛和肌肉无力为特征，通常影响肩部和上肢，甚至可以延伸到横膈膜。最近的数据表明，在10%的病例中，该病毒的存在与HEV感染有关。由于其罕见性，目前没有确定的治疗指南。在这里，我们提出一个44岁的男子谁发展为双侧NA和膈神经麻痹的后果急性戊型肝炎感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.