GBS is considered to be an autoimmune disorder triggered by many recognised precipitants via molecular mimicry.
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Recently, hepatitis E virus has been suggested as a possible common trigger for GBS , and the emerging Zika and West Nile viruses have also been linked to GBS [11,12].
AFP is a clinical presentation, rather than diagnosis, with rapid onset of weakness of one or more limbs, sometimes associated with weakness of muscles involved in swallowing and respiration, and progression over days and weeks.
GBS is one of the differential diagnoses for AFP .
Systematic review on tuberculosis transmission on aircraft and update of the European Centre for Disease Prevention and Control risk assessment guidelines for tuberculosis transmitted on aircraft (RAGIDA-TB)Williams, Thomas, Pickersgill, Lyons, Lowe, Stiff, Moore, Jones, Howe, Brunt, Ashman, and Mason: Cluster of atypical adult Guillain-Barré syndrome temporally associated with neurological illness due to EV-D68 in children, South Wales, United Kingdom, October 2015 to January 2016 Citation style for this article: Williams CJ, Thomas RH, Pickersgill TP, Lyons M, Lowe G, Stiff RE, Moore C, Jones R, Howe R, Brunt H, Ashman A, Mason BW. Unusually for GBS there was: prominent bilateral facial weakness (facial diplegia), evidence for axonal damage on nerve conduction studies rather than the more typical demyelinating pattern; atypical clinical onset of symptoms and atypical clinical progression.
Cluster of atypical adult Guillain-Barré syndrome temporally associated with neurological illness due to EV-D68 in children, South Wales, United Kingdom, October 2015 to January 2016. During the initial investigations, two cases of acute flaccid paralysis (AFP) in children from the same areas were identified.
GBS is an acute inflammatory peripheral nerve disorder of which the commonest type is a demyelinating, ascending paralysis, accounting for around 90% of cases.
There are rarer but recognised variants, including Miller Fisher syndrome (MFS), around 5% of GBS, which is typified by the triad of ophthalmoplegia, ataxia and areflexia; and acute motor axonal neuropathy (AMAN), 5% of GBS) in which an axonal rather than demyelinating pattern of nerve damage is seen and tendon reflexes can be paradoxically brisk .
Eurosurveillance remains in the updated list of the Directory of Open Access Journals (DOAJ).
It was first added to the DOAJ on 9 September 2004.
Eurosurveillance is also listed in the Securing a Hybrid Environment for Research Preservation and Access / Rights MEtadata for Open archiving (SHERPA/Ro MEO) , a database which uses a colour‐coding scheme to classify publishers according to their self‐archiving policy and to show the copyright and open access self-archiving policies of academic journals.
Eurosurveillance is listed there as a ‘green’ journal, which means that authors can archive pre-print (i.e. final draft post-refereeing) and archive the publisher's version/PDF. ES.2016.21.4.30119 In January 2016, an initial cluster of five cases of Guillain–Barré syndrome (GBS) in adult males was reported to Public Health Wales by neurologists at the University Hospital Wales in Cardiff.