[Patient with hypertransaminasemia and mononeuritis multiplex].
We present the case of a 57-year-old man with mononeuritis multiplex and high transaminase levels. After investigations, the patient was diagnosed with acute hepatitis B infection and polyarteritis nodosa (PAN). The symptoms of PAN are nonspecific. Nervous system involvement in the form of mononeuritis multiplex can be one of the forms of presentation. PAN is one of the extrahepatic manifestations of hepatitis B, but since the introduction of the hepatitis B vaccine, its incidence has markedly declined. After 1 year of follow-up, the patient is asymptomatic following treatment with antiviral drugs and steroids.
Díez
Rubén
R
Sección de Aparato Digestivo, Complejo Asistencial de León, León, España. rudiro@msn.com
Sierra
Mónica
M
Rascarachi
Gabriela
G
Arias
Laura
L
Vivas
Santiago
S
Jorquera
Francisco
F
Olcoz
José Luis
JL
D000208:Acute Disease; D006509:Hepatitis B / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D020422:Mononeuropathies / Q000097:blood / Q000209:etiology; D010488:Polyarteritis Nodosa / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D000637:Transaminases / Q000097:blood
D000637:Transaminases