Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis

Here, we describe the case of a 44-year-old man with chronic hepatitis B virus (HBV) infection, who was admitted with progressive muscle weakness and paresthesia in all extremities. He showed slight icterus. Positive HBV e-antigen test, significant HBV-deoxyribonucleic acid load, hypoalbuminemia, hy...

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Autores principales: Nugraha, Eka Surya, Huang, Ian, Supriyadi, Rudi, Girawan, Dolvy, Bestari, Muhammad Begawan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808564/
https://www.ncbi.nlm.nih.gov/pubmed/33457438
http://dx.doi.org/10.14309/crj.0000000000000519
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author Nugraha, Eka Surya
Huang, Ian
Supriyadi, Rudi
Girawan, Dolvy
Bestari, Muhammad Begawan
author_facet Nugraha, Eka Surya
Huang, Ian
Supriyadi, Rudi
Girawan, Dolvy
Bestari, Muhammad Begawan
author_sort Nugraha, Eka Surya
collection PubMed
description Here, we describe the case of a 44-year-old man with chronic hepatitis B virus (HBV) infection, who was admitted with progressive muscle weakness and paresthesia in all extremities. He showed slight icterus. Positive HBV e-antigen test, significant HBV-deoxyribonucleic acid load, hypoalbuminemia, hyperbilirubinemia, mild ascites, and demyelinating peripheral axonal lesions in both sensory and motor nerves led to the diagnosis of Child-Pugh class B HBV cirrhosis with chronic inflammatory demyelinating polyneuropathy. Oral lamivudine, intravenous steroids, calcium, and vitamin D therapy led to a significant recovery of muscle strength within 6 weeks and a gradual return to normal after 24 weeks.
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spelling pubmed-78085642021-01-15 Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis Nugraha, Eka Surya Huang, Ian Supriyadi, Rudi Girawan, Dolvy Bestari, Muhammad Begawan ACG Case Rep J Case Report Here, we describe the case of a 44-year-old man with chronic hepatitis B virus (HBV) infection, who was admitted with progressive muscle weakness and paresthesia in all extremities. He showed slight icterus. Positive HBV e-antigen test, significant HBV-deoxyribonucleic acid load, hypoalbuminemia, hyperbilirubinemia, mild ascites, and demyelinating peripheral axonal lesions in both sensory and motor nerves led to the diagnosis of Child-Pugh class B HBV cirrhosis with chronic inflammatory demyelinating polyneuropathy. Oral lamivudine, intravenous steroids, calcium, and vitamin D therapy led to a significant recovery of muscle strength within 6 weeks and a gradual return to normal after 24 weeks. Wolters Kluwer 2021-01-13 /pmc/articles/PMC7808564/ /pubmed/33457438 http://dx.doi.org/10.14309/crj.0000000000000519 Text en © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Nugraha, Eka Surya
Huang, Ian
Supriyadi, Rudi
Girawan, Dolvy
Bestari, Muhammad Begawan
Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis
title Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis
title_full Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis
title_fullStr Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis
title_full_unstemmed Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis
title_short Successful Nucleoside Analog and Corticosteroid Therapy for Chronic Inflammatory Demyelinating Polyneuropathy in a Patient With Hepatitis B Virus Liver Cirrhosis
title_sort successful nucleoside analog and corticosteroid therapy for chronic inflammatory demyelinating polyneuropathy in a patient with hepatitis b virus liver cirrhosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808564/
https://www.ncbi.nlm.nih.gov/pubmed/33457438
http://dx.doi.org/10.14309/crj.0000000000000519
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