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HEV感染的神经表现:仍然是一个罕见的疾病实体?
Maximilian Wiesenfarth1, Thomas Stamminger2, Eugen Zizer3
1Department of Neurology, Ulm University, Oberer Eselsberg 45, 89081, Ulm, Germany. maximilian.wiesenfarth@rku.de.
Journal of neurology
|September 22, 2023
概括
肝炎E病毒 (HEV) 感染可能导致神经问题. 建议对患有无法解释的神经症状的患者进行HEV测试,特别是神经性肌肉缩.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
背景情况:
- 肝炎E病毒 (HEV) 感染是病毒性肝炎的常见原因之一.
- 在被诊断的HEV感染中,多达30%发生神经症状.
- 在HEV和神经疾病之间的联系需要进一步调查.
研究的目的:
- 为了调查HEV感染的神经表现的患病率.
- 评估HEV与各种神经疾病之间的关联.
- 确定HEV测试在患有无法解释的神经症状的患者中的有用性.
主要方法:
- 对29,994名神经病患者 (2015-2022) 的医疗报告进行了回顾性分析.
- 在99名患有不明原因的神经疾病的患者中进行抗HEVIgM和IgG的血清检测.
- 在不同的神经诊断中HEV血清阳性的统计比较.
主要成果:
- 确定了5例肝外HEV神经表现的病例.
- 增加的抗HEVIgM和IgG水平与神经性肌缩/复合神经炎/激素炎显著相关.
- 分析的血清样本中有15%呈阳性抗HEVIgG,最常见的是吉兰-巴雷综合征 (AIDP/CIDP) 患者.
结论:
- 高血压病毒的神经表现很少见,但被低估了.
- 在对源不明的神经症状的差异诊断中应考虑HEV.
- 对HEV的检测对于表现为神经性肌缩症的患者尤其重要.
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