RT Journal Article
SR Electronic
T1 Hepatitis E virus and neurological disorders
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 282
OP 288
DO 10.1136/practneurol-2016-001588
VO 17
IS 4
A1 Brendan N Mclean
A1 James Gulliver
A1 Harry R Dalton
YR 2017
UL http://pn.bmj.com/content/17/4/282.abstract
AB Hepatitis E is the most common cause of hepatitis worldwide. While originally considered a disease of developing countries, it is increasingly recognised in developed countries, probably related to contaminated pork meat, and where infection is often asymptomatic. However, several non-liver manifestations have become apparent, the most important of which are neurological, including Guillain-Barré syndrome (acute inflammatory demyelinating polyradiculoneuropathy (AIDP)), neuralgic amyotrophy and meningoencephalitis. We recommend testing all patients with AIDP and neuralgic amyotrophy for hepatitis E and consider testing any patient with an unexplained neurological illness and abnormal liver function tests for the virus.