
John M Reid and Richard J Coleman
Address for correspondence; Dr John M Reid, Department of Neurology, Ward 40, Aberdeen Royal Infirmary, Forresterhill, Aberdeen, United Kingdom, AB25 2ZN
Email:
johnshazreid@yahoo.co.uk
SMJ 2006 51(2): 54
Keywords:
Hepatitis B, mononeuritis multiplex, Polyarteritis nodosa.
Abstract
We
describe the case of a male patient who presented with mononeuritis multiplex
due to polyarteritis nodosa following recent hepatitis B infection. Despite
immunomodulatory treatment, the condition progressed with renal and small bowel
involvement and the patient died. This case illustrates the difficulty in
treating this multisystem disorder and we review the literature on its
pathogenesis and treatment.
Case Report
A
58 year-old man presented to his GP with symptoms of tingling in his hands that
resolved over 3 days. Blood tests
showed elevated liver enzymes and hepatitis screening that showed him to be
hepatitis B virus (HBV) positive. He
was homosexual but denied unprotected sexual contact for several years.
There was no history of blood transfusion or injecting any drugs.
One month later he developed pins and needles initially in the toes of
his left foot which then affected the right foot and progressed to the calves.
His ankles were weak and he tended to trip.
He had lost 2 stone in weight. He
did not drink alcohol and took no medications.
When seen for neurological assessment he was thin, had bilateral ankle
oedema, and BP was 150/90. He had
left ankle dorsiflexion weakness and bilateral plantiflexion weakness.
Both ankle jerks were absent. Pinprick
sensation was reduced on the soles of both feet and the dorsum of the left foot.
He had absent vibration sense from the ankles distally.
These findings were consistent with a right common peroneal and bilateral
tibial neuropathies. Nerve conduction studies showed evidence of a lower limb
neuropathy. CSF examination was
acellular, with normal protein and glucose; oligocloncal bands were absent.
An ESR was 48 and alanine
aminotransferase 71 U/L (normal range 1-40),
alkaline phosphatase 127 U/L (normal range
45-105), gamma glutaryl transferase 63
U/L (normal range 4-35) and bilirubin 12 U/L.
Full blood count and renal function were normal and urine dipstick
negative for protein. Hep B serology was positive for HBV surface (HBsAg) and early
(HBeAg) antigens, and was positive for HBV core IgM antibody consistent with
acute HBV infection. The following
tests were either normal or negative: Hepatitis C, HIV, cryoglobulins,
complement, B12, folate, glucose, thyroid function, serum ACE, auto-immune
profile including ANCA, syphyllis serology, Borrelia serology, urine protein/creatinine
ratio and clotting screen. His
serum IgG level was 18.9 (normal range 8-14), with no paraprotein band visible
and with Bence Jones fraction absent; IgA
and IgM levels were normal. He was
treated initially with a right ankle foot orthosis and physiotherapy.
He
was seen 2 months later in the clinic with a one week complaint of right hand
weakness. Clinically he had a right
ulnar neuropathy and new left common peroneal neuropathy. One week later he had
also developed a right median neuropathy. He
had lost further weight. His BP was
180/110 and urinalysis showed a trace of protein.
Urea and creatinine levels were within normal limits.
Repeat HBV testing showed him still to be HBeAg positive.
His HBV DNA load was 2.42*1010
copies/ml.
A
sural nerve biopsy showed evidence of a florid vasculitis indistinguishable from
polyarteritis nodosa (PAN) affecting an epineurial artery less than 1 mm in
diameter. This was associated with
severe reduction in the number of myelinated fibres of all classes. A renal
angiogram was normal and a coeliac angiogram demonstrated resistive flow to the
liver only.
A
diagnosis of HBV-related PAN with mononeuritis multiplex (MM) was made. He was
treated with a regimen of anti-inflammatory and anti-viral treatment consisting
of prednisolone (initially 60 mg/day, reduced at weekly intervals), lamivudine
(100 mg/day) together with a 5-day course of intravenous immunoglobulin (400
mg/kg/day). One week later he was
also started on alpha interferon (5 mega units/day s.c.). His blood pressure was controlled with bendroflumethazide,
doxazosin and atenolol. Two weeks
later despite aggressive treatment he developed a right radial nerve palsy and
so a course of five plasma exchanges was begun. After 6 weeks of treatment,
there had been no new peripheral nerve signs but he appeared increasingly
cachectic. The Hepatitis B viral
load dropped to 79,200 copies/ml (fall of 5.48 log units). He developed
peritonism and a CT scan of the abdomen showed multiple wedge-shaped infarcts in
both kidneys and intra-peritoneal free air with no cause seen.
He underwent laparotomy that showed small bowel perforation which was
repaired. His steroid, lamivudine and alpha-interferon drugs were maintained
throughout. Two weeks after surgery
his viral load had fallen to 8360 copies/ml but his general condition continued
to deteriorate. When peritonitis recurred the patient was treated conservatively
and died 4 days later.
Post mortem examination revealed that the underlying cause of death was peritonitis secondary to dehiscence of a previously oversewn ileal perforation with evidence of healing arteritis in the adjacent mesentery. There was also widespread evidence of healing arteritis elsewhere, for example affecting median and ulnar nerves bilaterally, heart, liver and kidney.
DISCUSSION
Clinical features of HBV-related PAN
PAN
is a systemic vasculitis that affects muscular arteries but does not involve
arterioles or capillaries1. It
was first associated with HBV in 19702.
Typically patients with PAN develop fever,
malaise, fatigue, progressive weight loss and myalgia.
Large joint arthritis is seen in up to 50%. Cutaneous features include
livedo reticularis, nodules, ulcerations and digital ischaemia.
Mononeuritis multiplex (MM) is seen in 60% of patients with PAN affecting
the most distal nerves first3 and nerve conduction studies show an
axonal neuropathy. About half of patients have GI involvement (for example
mesenteric infarction or aneurysmal rupture) associated with a high mortality
rate4. Renal
inflammation is seen in 40% with microaneurysms and renal infarcts causing varying
degrees of renal insufficiency5.
Hypertension is a characteristic feature of acute PAN, seen in ~30% of patients
including ours, due to renal ischaemia stimulating the renin-angiotensin system6.
There are mild elevations in liver transaminases in most cases6.
10% of patients with PAN have ischaemic
strokes or cerebral haemorrhages7. There may be subclinical cardiac involvement but PAN usually
spares the lungs.
PAN
usually develops within the first 6 months of HBV infection and may be the first
indication of an HBV infection8.
Seroconversion from HBeAg positivity to the production of
anti–hepatitis Be antibodies usually signals recovery.
HBV infection is thought to now account for only 10-15% of all cases of
PAN in the developed world5,9due to the advent of HBV vaccination and
screening of blood donors. Annual
incidence rates for PAN range from 2 to 77 cases per million annually5,10
being highest in areas endemic for HBV. The
incidence of HBV infection in the UK is
7.4 per 100,00011, the majority being acquired through injecting drug
use12 or sexual contact. Rates
of HBV infection increased in Scotland in the late 1990s12 with a
rate of 18 per 100,000 in Grampian in 199913.
Pathogenesis
of HBV-related PAN
PAN
is a systemic necrotizing vasculitis that affects medium sized arteries1.
PAN is not associated with a positive ANCA which is seen in small vessel
vasculitis such as microscopic polyangitis or Wegener’s granulomatosis6.
When associated with HBV, PAN has been attributed to immune
complex–mediated disease since the virus's surface antigen and antibody
complexes are present in the circulation2.
HBsAg, immunoglobulin, and complement are found in the vasculitic lesions
of muscular arteries and vasa nervorum6,14.
There is however debate about which HBV-related antigen forms immune
complexes in PAN6. Recent
case reports of PAN associated with a HBV precore mutation were successfully
treated with anti-viral treatment, steroids and plasma exchange15
suggesting that the e antigen is not essential for pathogenesis.
Treatment of HBV-related
PAN
Idiopathic
or non-viral PAN is treated with corticosteroids and cytotoxic agents.
However HBV-related PAN treated with immunosuppressive agents alone may
be associated with liver damage 16, persistent infection and has a
poorer outcome than non-viral PAN17. Monotherapy with steroids in HBV-infected
patients without PAN delays HBeAg seroconversion18. The use of
antiviral agents has improved treatment of HBV-related cases19.
There have been no randomised controlled trials in treating HBV-related
PAN perhaps understandably given it is such a rare disorder.
Recent studies report use of steroids to reduce inflammation from PAN,
plasma exchanges to remove immune complexes in the acute phase, and anti-viral
drugs to inhibit viral replication. One
strategy involves the initial use of prednisolone (1 mg/kg per day)6,19
together with a 6-week course of plasma exchange (approximately 3 exchanges per
week). The steroids are tapered off over 2 weeks followed by the
initiation of antiviral therapy (e.g., lamivudine at 100 mg/d).
This treatment regimen is associated with clearance of the HBeAg and a
5.6% relapse rate for PAN6. In
one observational study using this regimen there was clinical recovery in 9 out
of 10 patients and seroconversion in 6 out of 920.
The authors report an overall 7-year survival rate of 83% using this
regimen8,20. A recent
paper contrasted 2 patients with HBV-related PAN.
One patient who stopped his initial treatment, relapsed and died of
cerebral infarction and there was a favourable outcome in a second on a regimen
of initial corticosteroids, lamivudine and plasma exchanges21.
Steroids appear to have a priming effect in HBV treatment as studies have
shown that the virologic response to lamivudine and interferon in chronic HBV
infection is enhanced by a prior course of corticosteroids which is not seen if
steroids and anti-viral drugs are initiated together22.
It has been proposed that traditional immunosuppression with cytotoxic
drugs and prolonged steroids should no longer be used in HBV-related PAN given
that plasma exchange with antiviral drugs and an initial short course of
steroids appears to be a successful treatment6.
However it is recognised that in cases that do not respond to the regimen
of initial steroids followed by anti-viral therapy and plasma exchange may
require long-term steroids and cyclophosphamide20.
Antiviral
agents are essential, as they reduce the production of HBV antigens and help to
achieve HBeAg seroconversion. Prospective
studies show improved mortality and relapse rates with use of antiviral agents21.
Some studies report that antiviral treatment alone has been successful in
treating HBV-related PAN23,24. Anti-viral
therapy tends to be continued until seroconversion occurs21.
The combination of lamivudine and interferon alpha-2b may be more
beneficial in chronic HBV infection than either drug alone25 whilst
HBV-related PAN can respond to a combination of lamivudine and interferon
alpha-2b26.
Discussion
of Case
This
case demonstrates that HBV-related PAN can be a difficult multisystem disorder
to treat. Our patient was treated initially with steroids, anti-viral
therapy (lamivudine and alpha-interferon) and immunoglobulin.
As the illness progressed we initiated plasma exchange
Possible alternative treatment options would be to reduce and stop the
steroids at an early stage (e.g. 2 weeks) and initiate plasma exchange from the
onset. Further, starting steroids prior to anti-viral therapy might
have had a priming effect on anti-viral treatment.
Immunoglobulin is not routinely used in treating HBV-related PAN, however
one case report describes rapid improvement in HBV-related PAN using intravenous
immunogloblulin27.
Conclusion
This
fatal case of HBV-related PAN illustrates that Hepatitis B is an important cause
of mononeuritis multiplex that can be difficult to treat and is associated with
significant morbidity and mortality. Current
evidence for treatment of HBV-related PAN is based predominantly on case series,
and although outcomes are undoubtedly improving, the quality of the evidence is
poor. Physicians need to be aware
of this condition given the rise in rates of HBV infection in Scotland12.
Acknowledgement
Thanks to Dr James Mackenzie for help with the
pathological studies and Professor Andrew Rees for advice with the manuscript.
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