Sensory neuropathy in the prodromal phase of hepatitis A and review of the literature.
We report an unrecognized clinical presentation of hepatitis A with unilateral peripheral acute sensory loss in the prodromal phase of the illness. Although rare, focal neurological signs are known to occur in hepatitis A before, during and after the icteric phase; a pure peripheral sensory neuropathy is distinctly uncommon. Possible lesions could include radiculopathy of the lower thoraco-lumbo-sacral dorsal nerve roots or a partial transverse myelitis of Brown-Séquad like distribution. The signs and symptoms lasted only a few days and the patient had an uneventful recovery.
Department of Gastroenterology, The Wollongong Hospital, NSW, Australia.
S
S
Islam
J A
JA
McDonald
D000328:Adult; D006506:Hepatitis A / Q000150:complications*; D006801:Humans; D008297:Male; D010523:Peripheral Nervous System Diseases / Q000821:virology*