POST-DIPHTHERITIC POLYNEURITIS: A REPORT OF FIVE CASES WITH ALBUMINOCYTOLOGIC DISSOCIATION SIMULATING GUILLAIN-BARRÉ'S SYNDROME
Authors: Mahlon H. Delp, George F. Sutherland, Edward H. Hashinger
Journal: Annals of Internal Medicine (1946)

Article1 April 1946POST-DIPHTHERITIC POLYNEURITIS: A REPORT OF FIVE CASES WITH ALBUMINOCYTOLOGIC DISSOCIATION SIMULATING GUILLAIN-BARRÉ'S SYNDROMEMAHLON H. DELP, GEORGE F. SUTHERLAND, EDWARD H. HASHINGERMAHLON H. DELPSearch for more papers by this author, GEORGE F. SUTHERLANDSearch for more papers by this author, EDWARD H. HASHINGERSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-24-4-618 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt seems highly probable that many cases of diphtheritic polyneuritis are being improperly designated as a primary neurological disease, and being erroneously catalogued variously as: infectious polyneuritis, radiculoneuronitis, or Guillain-Barré's syndrome. Review of the present literature and personal observation in retrospect adds confirmation to this belief. We are here reporting five cases manifesting several interesting features with one common finding—albumino-cytologic dissociation—in order to emphasize the ease with which they could have been dismissed in a like manner. In all respects these cases satisfy the original criteria set up by Guillain, Barré and Strohle1of polyneuritis, normal spinal fluid cell counts...Bibliography1. GUILLAINBARRÉSTROHLE GJA: Sur un syndrome de radiculonéurite avec hyperalbuminose du liquide cephalorachidien sans réaction cellulaire: Rémarques sur les caractères cliniques et graphiques des réflexes tendineux, Bull. et mém. Soc. méd. d. hôp. de Paris, 1916, xl, 1462. Google Scholar2. CASAMAJOR L: Acute ascending paralysis among troops, Arch. Neurol. and Psychiat., 1919, ii, 705. Google Scholar3. BRADFORDBASHFORDWILSON JREFJA: Acute infective polyneuritis, Quart. Jr. Med., 1918, xii, 88. CrossrefGoogle Scholar4. KENNEDY F: Infective neuronitis, Arch. Neurol. and Psychiat., 1919, ii, 621. CrossrefGoogle Scholar5. BAKER AB: Guillain-Barré's disease (encephalomyelo-radiculitis). A review of 33 cases, Jr. Lancet, 1943, lxiii, 384-398. Google Scholar6. JERVISSTRASSBURGER AGPJ: Guillain-Barré's syndrome ("infectious polyneuritis") and acute anterior poliomyelitis, Am. Jr. Dis. Child., 1943, lxv, 431-439. Google Scholar7. SHASKAN D: Guillain-Barré's syndrome, an early diagnosis, Jr. Nerv. and Ment. Dis., 1943, xcvii, 280-282. CrossrefGoogle Scholar8. DE JONG RN: The Guillain Barré's syndrome, polyradiculoneuritis with albumino-cytologic dissociation, Arch. Neurol. and Psychiat., 1940, xliv, 1044-1068. CrossrefGoogle Scholar9. EDERLE W: Serous radiculoneuromyelitis, Jr. Am. Med. Assoc., 1945, cxxviii, 549. Abstract from Deutsch. med. Wchnschr., 1943, lxix, 773. Google Scholar10. WILSON KS: Neurology, The Williams and Wilkins Company, Baltimore, 1940, i, 639. Google Scholar11. NORRISKERNSCHENCKSILCOX RFRAHPLE: Diphtheria in the tropics. A report of 18 cases on a United States Naval Hospital Ship, U. S. Nav. Med. Bull., 1944, xlii, 518-524. Google Scholar12. ARINGSABIN CDAB: Visceral lesions in infectious polyneuritis, Am. Jr. Path., 1941, xvii, 469-481. Google Scholar13. SHULACKPETERS NRM: Spinal cord changes in avitaminosis, Bull. U. S. Army Med. Dept., 1945, lxxxviii, 118-120. Google Scholar14. CAMERONMUIR JDEG: Cutaneous diphtheria in Northern Palestine, Lancet, 1942, ii, 720-723. CrossrefGoogle Scholar15. SAFFRON MH: Cutaneous diphtheria as a military problem. Review of literature with a report of a case, Arch. Dermat. and Syph., 1945, li, 337-340. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 7, 1945. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPolyradiculo-neuropathy (Landry-Guillain-Barre-Strohl srndrome) in childrenDie Diphtherie der HautCUSHING'S SYNDROME AND THE GUILLAIN-BARRÉ SYNDROME*RUBIN BRESSLER, M.D., CHARLES T. JOHNSON, M.D.DiphtheriaSíndrome de Guillain-Barré: a propósito de três casos, sendo um tratado pelo ACTHGuillain-Barré's Syndrome Associated with Poliomyelitis in NewbornThe Guillain–Barre Syndrome: Report of a Case Treated with ACTH and CortisoneTHE NON-INFECTIOUS NATURE OF THE GUILLAIN-BARRÉ SYNDROME WITH A POSSIBLE EXPLANATION FOR THE ALBUMINO-CYTOLOGIC DISSOCIATION*NORMAN REITMAN, M.D., F.A.C.P., KARL ROTHSCHILD, M.D., F.A.C.P.A CASE OF GUILLAIN-BARRÉS SYNDROME FOLLOWING VACCINATION AGAINST SMALLPOX 1 April 1946Volume 24, Issue 4Page: 618-628KeywordsGuillain-Barre syndromeInfectious diseases ePublished: 1 December 2008 Issue Published: 1 April 1946 PDF downloadLoading ...