title: [Disease with generalized pain. Guillain-Barré syndrome].
abstract: A 43-year-old women is suffering from immobilizing generalized muscular pain. Initial diagnostic course doesn't lead to diagnosis. Some days later after appearing of a facial palsy a Guillain-Barré syndrome is diagnosed after lumbar puncture showing a increased protein and normal white-cell count. Because the patient is seriously affected with immobilization a treatment with intravenous immunoglobulin is established, leading to a quick improvement. Pain as a leading symptom of Guillain- Barré syndrome and has a potential for leading to misdiagnosis effecting delay in therapy in possible harmful disease.
authors.affiliation: Abteilung für Innere Medizin, Stadtspital Waid. andreas.schleich@usz.ch
authors.forename: A
authors.initials: A
authors.lastname: Schleich
authors.forename: H
authors.initials: H
authors.lastname: Baumann
mesh_terms: D000328:Adult; D000588:Amines / Q000627:therapeutic use; D000700:Analgesics / Q000627:therapeutic use; D003509:Cyclohexanecarboxylic Acids / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D000077206:Gabapentin; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007116:Immunization, Passive; D009460:Neurologic Examination; D010146:Pain / Q000209:etiology*; D013035:Spasm / Q000209:etiology*; D005680:gamma-Aminobutyric Acid / Q000627:therapeutic use
chemical_list: D000588:Amines; D000700:Analgesics; D003509:Cyclohexanecarboxylic Acids; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin