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Acute polyarthritis revealing hepatitis E.

Jacques Serratrice1, Patrick Disdier, Philippe Colson

  • 1Service de Médecine Interne, CHU Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 5, France.

Clinical Rheumatology
|March 7, 2007
PubMed
Summary
This summary is machine-generated.

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Hepatitis E, a viral infection, can manifest as acute polyarthritis affecting joints like ankles and knees. This case highlights prolonged viral presence and joint inflammation as potential systemic signs.

Area of Science:

  • Hepatology
  • Virology
  • Rheumatology

Background:

  • Hepatitis E virus (HEV) infection is a significant cause of acute liver inflammation worldwide.
  • While HEV is known for causing jaundice and liver damage, extrahepatic manifestations are increasingly recognized.

Observation:

  • A 51-year-old French woman presented with acute polyarthritis affecting ankles, knees, wrists, and fingers.
  • The joint inflammation persisted for up to 3 months without recurrence.
  • The patient exhibited a prolonged 9-month viraemia with persistent IgM antibodies against HEV genotype 3.

Findings:

  • The case demonstrates a prolonged viraemia and persistent IgM, suggesting a protracted course of HEV infection.
  • Acute polyarthritis was the initial and prominent symptom, preceding or coinciding with liver enzyme elevation.

Related Experiment Videos

  • HEV genotype 3 was identified, with potential exposure in France or hyperendemic travel areas.

    • Implications:

    • Acute polyarthritis should be considered a potential systemic manifestation of Hepatitis E virus infection.
    • This case broadens the understanding of HEV's clinical spectrum, particularly in non-endemic regions.
    • Further research is warranted to elucidate the mechanisms linking HEV infection to joint inflammation and prolonged viraemia.