Clinical phenotype and outcome of hepatitis E virus-associated neuralgic amyotrophy.

Détails

ID Serval
serval:BIB_C9B115AF8AF3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Clinical phenotype and outcome of hepatitis E virus-associated neuralgic amyotrophy.
Périodique
Neurology
Auteur(s)
van Eijk JJJ, Dalton H.R., Ripellino P., Madden R.G., Jones C., Fritz M., Gobbi C., Melli G., Pasi E., Herrod J., Lissmann R.F., Ashraf H.H., Abdelrahim M., Masri OABAL, Fraga M., Benninger D., Kuntzer T., Aubert V., Sahli R., Moradpour D., Blasco-Perrin H., Attarian S., Gérolami R., Colson P., Giordani M.T., Hartl J., Pischke S., Lin N.X., Mclean B.N., Bendall R.P., Panning M., Peron J.M., Kamar N., Izopet J., Jacobs B.C., van Alfen N., van Engelen BGM
ISSN
1526-632X (Electronic)
ISSN-L
0028-3878
Statut éditorial
Publié
Date de publication
29/08/2017
Peer-reviewed
Oui
Volume
89
Numéro
9
Pages
909-917
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Résumé
To determine the clinical phenotype and outcome in hepatitis E virus-associated neuralgic amyotrophy (HEV-NA).
Cases of NA were identified in 11 centers from 7 European countries, with retrospective analysis of demographics, clinical/laboratory findings, and treatment and outcome. Cases of HEV-NA were compared with NA cases without evidence of HEV infection.
Fifty-seven cases of HEV-NA and 61 NA cases without HEV were studied. Fifty-six of 57 HEV-NA cases were anti-HEV IgM positive; 53/57 were IgG positive. In 38 cases, HEV RNA was recovered from the serum and in 1 from the CSF (all genotype 3). Fifty-one of 57 HEV-NA cases were anicteric; median alanine aminotransferase 259 IU/L (range 12-2,961 IU/L); in 6 cases, liver function tests were normal. HEV-NA cases were more likely to have bilateral involvement (80.0% vs 8.6%, <i>p</i> < 0.001), damage outside the brachial plexus (58.5% vs 10.5%, <i>p</i> < 0.01), including phrenic nerve and lumbosacral plexus injury (25.0% vs 3.5%, <i>p</i> = 0.01, and 26.4% vs 7.0%, <i>p</i> = 0.001), reduced reflexes ( <i>p</i> = 0.03), sensory symptoms ( <i>p</i> = 0.04) with more extensive damage to the brachial plexus. There was no difference in outcome between the 2 groups at 12 months.
Patients with HEV-NA are usually anicteric and have a distinct clinical phenotype, with predominately bilateral asymmetrical involvement of, and more extensive damage to, the brachial plexus. Involvement outside the brachial plexus is more common in HEV-NA. The relationship between HEV and NA is likely to be causal, but is easily overlooked. Patients presenting with NA should be tested for HEV, irrespective of liver function test results. Prospective treatment/outcome studies of HEV-NA are warranted.
Mots-clé
Adult, Aged, Aged, 80 and over, Brachial Plexus/diagnostic imaging, Brachial Plexus/physiopathology, Brachial Plexus Neuritis/diagnostic imaging, Brachial Plexus Neuritis/drug therapy, Brachial Plexus Neuritis/pathology, Brachial Plexus Neuritis/physiopathology, Europe, Female, Hepatitis Antibodies/blood, Hepatitis E/drug therapy, Hepatitis E/pathology, Hepatitis E/physiopathology, Hepatitis E/virology, Hepatitis E virus, Humans, Immunoglobulin G/blood, Immunoglobulin M/blood, Liver Function Tests, Male, Middle Aged, Phenotype, RNA, Viral/blood, RNA, Viral/cerebrospinal fluid, Retrospective Studies, Treatment Outcome, Young Adult
Pubmed
Web of science
Création de la notice
11/07/2018 7:33
Dernière modification de la notice
20/08/2019 15:44
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