Extrahepatic manifestations of hepatitis E virus

Liver Int. 2016 Apr;36(4):467-72. doi: 10.1111/liv.13037.

Abstract

Hepatitis E virus can cause acute, fulminant and chronic hepatitis and has been associated with a range of extrahepatic manifestations. Guillain-Barré syndrome, neuralgic amyotrophy and encephalitis are the main neurological manifestations associated with acute and chronic hepatitis E virus infection. Renal injuries have been also reported, including membranoproliferative glomerulonephritis with or without cryoglobulinemia and membranous glomerulonephritis. Acute pancreatitis, haematological disorders and other autoimmune extrahepatic manifestations of hepatitis E virus, such as myocarditis and thyroiditis, have been also reported. In this comprehensive article, we review all published reports describing hepatitis E virus-associated extrahepatic manifestations.

Keywords: Anaemia; Guillain-Barré syndrome; hepatitis E virus; kidney disease; neuralgic amyotrophy; pancreatitis; thrombocytopenia.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Anemia / diagnosis
  • Anemia / virology*
  • Animals
  • Cryoglobulinemia / diagnosis
  • Cryoglobulinemia / virology*
  • Hepatitis E / complications
  • Hepatitis E / diagnosis
  • Hepatitis E / virology*
  • Hepatitis E virus / pathogenicity*
  • Host-Pathogen Interactions
  • Humans
  • Kidney Diseases / diagnosis
  • Kidney Diseases / virology*
  • Nervous System Diseases / diagnosis
  • Nervous System Diseases / virology*
  • Pancreatitis / diagnosis
  • Pancreatitis / virology*
  • Risk Factors
  • Thrombocytopenia / diagnosis
  • Thrombocytopenia / virology*