A Guillain-Barre Syndrome-like Neuropathy Associated with Arsenic Exposure

摘要

A Guillain-Barre Syndrome-like Neuropathy Associated with Arsenic Exposure: Sunyoung Kim, et al. Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Republic of Korea-Objectives: We report on a patient presenting with an isolated polyneuropathy mimicking Guillain-Barre syndrome (GBS) associated with arsenic exposure. Case: A 43-year-old man visited our emergency room complaining of progressive quadri-paresis over the prior 5 days. His clinical course with laboratory data was typical of GBS. However, because of his recent use of herbal medication, we screened for the presence of several heavy metals. Serial analyses of urinary inorganic arsenic concentrations confirmed exposure to arsenic. He was diagnosed as arsenic neuropathy mimicking GBS without any systemic manifestation of arsenic intoxication. Conclusions: The present case study emphasizes the need to consider arsenic intoxication in patients presenting with acute demyelinating neuropathies and histories of herbal medication use.