Hashimoto's encephalopathy in association with retinitis pigmentosa - First reported case.
Hashimoto's Encephalopathy
intravenous immunoglobulin
retinitis pigmentosa
thyroid
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
20
12
2019
revised:
31
01
2020
accepted:
07
02
2020
entrez:
9
6
2020
pubmed:
9
6
2020
medline:
9
6
2020
Statut:
epublish
Résumé
Hashimoto's Encephalopathy (HE), also known as steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT), is a proteiform disorder known for its wide spectrum of presentations from subtle neuropsychiatric manifestations, movement disorders, seizures, stroke-like episodes to coma. Here, we report a case of HE which initially masqueraded as bipolar affective disorder (BPAD) and ultimately progressed to generalized tonic clonic seizures and coma. Although SREAT is characterized by exquisite responsive to steroid, in our case it was unresponsive to pulse methylprednisolone therapy. Rapid recovery was noted with intravenous immunoglobulin (IVIG) therapy. This case was also peculiar for its association with non-sydnromic retinitis pigmetosa (RP). To the best of our knowledge, this was the first reported case of HE which was associated with RP.
Identifiants
pubmed: 32509688
doi: 10.4103/jfmpc.jfmpc_1197_19
pii: JFMPC-9-1765
pmc: PMC7266246
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1765-1767Informations de copyright
Copyright: © 2020 Journal of Family Medicine and Primary Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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