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Neuralgic Amyotrophy with Concomitant Hereditary Neuropathy with Liability to Pressure Palsy as a Cause of Dropped Shoulder in a Child after Human Papillomavirus Vaccination: A Case Report

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Author(s)
Hye-Chan AhnDo-Hoon KimChul-Hyun ChoJun-Chul ByunJang-Hyuk Cho
Keimyung Author(s)
Kim, Do HoonCho, Chul HyunByun, Jun ChulCho, Jang Hyuk
Department
Dept. of Laboratory Medicine (진단검사의학)
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Pediatrics (소아청소년학)
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
Children (Basel)
Issued Date
2022
Volume
9
Issue
4
Keyword
brachial plexus neuritishereditary sensory and motor neuropathyparalysisvaccinationpediatrics
Abstract
Hereditary neuropathy with liability to pressure palsy (HNPP) makes nerves increasingly susceptible to mechanical pressure at entrapment sites. Neuralgic amyotrophy (NA) can cause sudden regional weakness following events to which the patient is immunologically predisposed, such as vaccination. However, NA related to human papilloma virus (HPV) vaccination is seldom reported. We describe the case of a child with NA as the cause of a dropped shoulder following the administration of the HPV vaccine. Underlying asymptomatic HNPP was confirmed in this patient based on the electrodiagnostic findings and genetic analysis. We speculate that HPV vaccination elicited an immune-mediated inflammatory response, resulting in NA. Our patient with pre-existing HNPP might be vulnerable to the occurrence of an immune-mediated NA, which caused the dropped shoulder.
Keimyung Author(s)(Kor)
김도훈
조철현
변준철
조장혁
Publisher
School of Medicine (의과대학)
Citation
Hye-Chan Ahn et al. (2022). Neuralgic Amyotrophy with Concomitant Hereditary Neuropathy with Liability to Pressure Palsy as a Cause of Dropped Shoulder in a Child after Human Papillomavirus Vaccination: A Case Report. Children (Basel), 9(4), 528. doi: 10.3390/children9040528
Type
Article
ISSN
2227-9067
Source
https://www.mdpi.com/2227-9067/9/4/528
DOI
10.3390/children9040528
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44302
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학)
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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