title: Mononeuritis multiplex and painful ulcers as the initial manifestation of hepatitis B infection.
abstract: Hepatitis B virus infection leads to multisystem manifestations owing to involvement of kidney, skin, vasculature, haematopoietic and nervous system. The hepatitis B infection can cause neuropathy either to vasculitis associated with polyarteritis nodosa or immune-mediated neural damage. In this submission, we report a young woman, who presented with mononeuritis multiplex and painful ulcerations as the first manifestation of chronic hepatitis B virus infection. The antiviral therapy along with steroids led to remarkable recovery. The clinical settings of hepatitis B virus infection should not be ignored in the presentation of mononeuritis multiplex with ulcers, although the commonest cause is leprosy in the Indian sub-continent.
authors: Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India. drrajeshverma32@yahoo.com
authors: Rajesh
authors: R
authors: Verma
authors: Rakesh
authors: R
authors: Lalla
authors: Suresh
authors: S
authors: Babu
mesh_terms: D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D002908:Chronic Disease; D005260:Female; D006509:Hepatitis B / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D006515:Hepatitis B virus; D006801:Humans; D020422:Mononeuropathies / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010488:Polyarteritis Nodosa / Q000209:etiology; D013256:Steroids / Q000627:therapeutic use; D014456:Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D055815:Young Adult
chemical_list: D000998:Antiviral Agents; D013256:Steroids
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