@article{24051,
  keywords = {Adult, Antiviral Agents, Chronic Disease, Female, Hepatitis B, Hepatitis B virus, Humans, Mononeuropathies, Peripheral Nervous System Diseases, Polyarteritis Nodosa, Steroids, Ulcer, Young Adult},
  author = {Verma R and Lalla R and Babu S},
  title = {Mononeuritis multiplex and painful ulcers as the initial manifestation of hepatitis B infection.},
  abstract = {<p>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.</p>},
  year = {2013},
  journal = {BMJ case reports},
  volume = {2013},
  month = {2013 May 02},
  issn = {1757-790X},
  doi = {10.1136/bcr-2013-009666},
  language = {eng},
}