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Neuralgic amyotrophy associated with hepatitis E virus.
[neuralgic amyotrophy]
Neuralgic
amyotrophy
(
NA
)
is
characterised
by
neuropathic
pain
and
patchy
paresis
of
the
upper
or
lower
limbs
,
usually
involving
the
upper
and
middle
trunks
of
the
brachial
plexus
.
The
aetiology
of
NA
is
varied
,
with
precipitating
factors
that
include
trauma
,
surgery
,
pregnancy
,
inoculations
and
infections
.
Deranged
liver
enzymes
have
been
noted
in
previous
NA
reports
but
no
cause
identified
.
We
describe
a
case
of
bilateral
NA
in
a
53
-
year
-old
man
who
presented
with
peripheral
neuropathy
and
isolated
derangement
of
liver
enzymes
.
Serology
was
positive
for
hepatitis
E
infection
and
negative
for
other
infections
previously
described
to
be
associated
with
NA
.
The
diagnosis
was
supported
by
electrophysiological
findings
.
This
case
report
suggests
that
hepatitis
E
is
a
potential
cause
of
NA
that
had
not
previously
been
described
in
the
literature
,
and
further
supports
a
proposed
immune
pathogenesis
underlying
the
condition
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated