To the Editor: In their review article (March 2 issue), Gilden et al.1 describe complications involving the peripheral and central nervous system after reactivation of varicella–zoster virus. They do not mention Guillain–Barré syndrome as a complication.
We report the case of a 73-year-old woman in whom an acute inflammatory demyelinating polyradiculoneuropathy, fulfilling all the clinical and laboratory diagnostic criteria for Guillain–Barré syndrome,2 developed a few days after the onset of thoracic shingles.
On admission, the patient described sharp pain at the lowest left thoracic dermatomes, where erythematous maculopapular lesions and vesicles were present. Neurologic examination revealed bilateral distal weakness on . . .
