Autoimmune Encephalitis as an Extra-articular Manifestation of Rheumatoid Arthritis.
autoantibodies
autoimmune encephalitis
rheumatoid arthritis
rheumatoid pachymeningitis
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
01 Apr 2019
01 Apr 2019
Historique:
pubmed:
20
11
2018
medline:
22
5
2019
entrez:
20
11
2018
Statut:
ppublish
Résumé
Autoimmune encephalitis (AE) is an immune-mediated encephalitis characterized by the subacute onset of memory deficits, altered mental status, or psychiatric symptoms. Limbic encephalitis associated with rheumatoid arthritis (RA) has not been reported yet. A 57-year-old man presented with the subacute onset of headache, depression, and anorexia 7 months before the onset of RA. Brain magnetic resonance imaging showed symmetric parenchymal lesions involving the medial temporal lobes. He was diagnosed with RA and AE, but no autoantibodies to neuronal intracellular or cell-surface antigens were identified in either the serum or cerebrospinal fluid. His symptoms improved with immunotherapy. AE can develop as an extra-articular manifestation of RA.
Identifiants
pubmed: 30449780
doi: 10.2169/internalmedicine.1846-18
pmc: PMC6478993
doi:
Substances chimiques
Autoantibodies
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1007-1009Références
Clin Rheumatol. 2003 Dec;22(6):475-80
pubmed: 14677033
Neurology. 2007 Mar 27;68(13):1079-80
pubmed: 17389318
Neurol Sci. 2011 Dec;32(6):1191-4
pubmed: 21863270
Neurologia. 2013 Jan-Feb;28(1):63-4
pubmed: 21907463
Autoimmun Rev. 2011 Dec;11(2):123-31
pubmed: 21939785
Joint Bone Spine. 2012 Jul;79(4):351-5
pubmed: 22281228
Neurol Sci. 2015 Jun;36(6):1047-8
pubmed: 25596712
Lancet Neurol. 2016 Apr;15(4):391-404
pubmed: 26906964
Case Rep Neurol. 2016 Jul 20;8(2):156-160
pubmed: 27721779