An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report

Guillain-Barré syndrome (GBS) is an autoimmune neurological disorder with unknown aetiology. Given the incidence of GBS is between 1.2 and 1.9 cases per 100,000 people annually [1], it is extremely rare in pregnancy. We report a case with a challenging diagnosis of pre-eclampsia (PET) in a 34-year-o...

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Main Authors: Jue Wang, Amin Bahabri, Patricia Wong, Arisudhan Anantharachagan
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911223000139
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author Jue Wang
Amin Bahabri
Patricia Wong
Arisudhan Anantharachagan
author_facet Jue Wang
Amin Bahabri
Patricia Wong
Arisudhan Anantharachagan
author_sort Jue Wang
collection DOAJ
description Guillain-Barré syndrome (GBS) is an autoimmune neurological disorder with unknown aetiology. Given the incidence of GBS is between 1.2 and 1.9 cases per 100,000 people annually [1], it is extremely rare in pregnancy. We report a case with a challenging diagnosis of pre-eclampsia (PET) in a 34-year-old diabetic primigravida who was diagnosed with GBS at 30 weeks of gestation. At her initial presentation, she complained of progressive weakness of her limbs and facial muscles. This was associated with difficulty swallowing. The diagnosis of GBS was made based on electromyography (EMG) and clinical findings. She was managed conservatively with supportive management and was delivered by lower segment caesarean section at 34 weeks of gestation due to rapidly deteriorating liver function tests (LFTs) in the likely setting of PET.
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spelling doaj.art-019b6ff88a1e4732b88a81ea1d7a2ec92023-04-03T05:21:36ZengElsevierCase Reports in Women's Health2214-91122023-03-0137e00489An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case reportJue Wang0Amin Bahabri1Patricia Wong2Arisudhan Anantharachagan3Corresponding author at: Recherche Medical Centre, 64 Windich St, Esperance, WA 6450, Australia.; Fiona Stanley Hospital, AustraliaFiona Stanley Hospital, AustraliaFiona Stanley Hospital, AustraliaFiona Stanley Hospital, AustraliaGuillain-Barré syndrome (GBS) is an autoimmune neurological disorder with unknown aetiology. Given the incidence of GBS is between 1.2 and 1.9 cases per 100,000 people annually [1], it is extremely rare in pregnancy. We report a case with a challenging diagnosis of pre-eclampsia (PET) in a 34-year-old diabetic primigravida who was diagnosed with GBS at 30 weeks of gestation. At her initial presentation, she complained of progressive weakness of her limbs and facial muscles. This was associated with difficulty swallowing. The diagnosis of GBS was made based on electromyography (EMG) and clinical findings. She was managed conservatively with supportive management and was delivered by lower segment caesarean section at 34 weeks of gestation due to rapidly deteriorating liver function tests (LFTs) in the likely setting of PET.http://www.sciencedirect.com/science/article/pii/S2214911223000139Guillain-Barré syndrome (GBS)PregnancyDiabetes mellitus type 2 (T2DM)Pre-eclampsia (PET)
spellingShingle Jue Wang
Amin Bahabri
Patricia Wong
Arisudhan Anantharachagan
An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report
Case Reports in Women's Health
Guillain-Barré syndrome (GBS)
Pregnancy
Diabetes mellitus type 2 (T2DM)
Pre-eclampsia (PET)
title An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report
title_full An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report
title_fullStr An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report
title_full_unstemmed An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report
title_short An atypical presentation of pre-eclampsia (PET) in a patient diagnosed with Guillain-Barré syndrome: A case report
title_sort atypical presentation of pre eclampsia pet in a patient diagnosed with guillain barre syndrome a case report
topic Guillain-Barré syndrome (GBS)
Pregnancy
Diabetes mellitus type 2 (T2DM)
Pre-eclampsia (PET)
url http://www.sciencedirect.com/science/article/pii/S2214911223000139
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