Naveed Sajid, Okoli Kelechi, Hollingsworth Jocelyn, Kasmani Rahil
Department of Internal Medicine, UPMC, McKeesport, PA, USA.
South Med J. 2010 Feb;103(2):156-8. doi: 10.1097/smj.0b013e3181bfd2c0.
Guillain-Barré syndrome (GBS) encompasses the variants of acute immune-mediated polyneuropathies usually preceded by an infection. A few case reports have associated GBS to neoplastic diseases. It remains unclear whether these are merely coincidental or represent paraneoplastic phenomena. The clinical features of GBS associated with oncological cases do not appear to differ from post-infectious GBS. We report a 74-year-old man in whom small cell carcinoma of lung (SCLC) was diagnosed during a presentation with GBS. Treatment with chemotherapy for SCLC and intravenous immunoglobulins led to complete neurological recovery and tumor regression.
吉兰-巴雷综合征(GBS)包括通常由感染前驱的急性免疫介导性多发性神经病的多种变体。少数病例报告将GBS与肿瘤性疾病相关联。这些关联是仅仅出于巧合还是代表副肿瘤现象仍不清楚。与肿瘤病例相关的GBS的临床特征似乎与感染后GBS并无不同。我们报告了一名74岁男性,他在因GBS就诊期间被诊断出患有小细胞肺癌(SCLC)。针对SCLC的化疗和静脉注射免疫球蛋白治疗使神经功能完全恢复且肿瘤消退。