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  • Title: Chronic hepatitis B exacerbated by Guillain-Barré syndrome: a report of two cases.
    Author: Han HF, Wu JC, Huo TI, Kao KP, Huang YH, Chang FY, Lee SD.
    Journal: Zhonghua Yi Xue Za Zhi (Taipei); 1999 Sep; 62(9):652-6. PubMed ID: 10502859.
    Abstract:
    Several neurologic complications involving both the central and peripheral nervous systems due to acute viral hepatitis have been described, but Guillain-Barré (G-B) syndrome occurring as a complication of chronic viral hepatitis is extremely rare. Although it is generally agreed that G-B syndrome develops as an immune-mediated reaction, its exact pathogenesis remains obscure. We report the cases of two patients with chronic hepatitis B virus (HBV) infection acutely exacerbated by the development of G-B syndrome. G-B syndrome was diagnosed by nerve conduction velocity studies, electromyographic studies and a rise in acellular total protein in the cerebrospinal fluid (albumino-cytologic dissociation). In these two patients, we were able to accurately define the relationship between the onset of acute exacerbation of chronic HBV infection and G-B syndrome. The neurologic symptoms of G-B syndrome resolved with the return of liver enzymes to normal. Interferon therapy may be beneficial in relieving neurologic symptoms in patients with HB infection-related G-B syndrome.
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