Possible Cerebral Vasculitis in a Case with Rheumatoid Arthritis.
brain biopsy
cerebral rheumatoid vasculitis
hypocomplementemia
rheumatoid factor
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Mar 2021
15 Mar 2021
Historique:
pubmed:
23
10
2020
medline:
15
4
2021
entrez:
22
10
2020
Statut:
ppublish
Résumé
Cerebral rheumatoid vasculitis (CRV) is a rare, fatal, and diagnostically challenging disorder. We herein report an 81-year-old woman with a 4-year history of rheumatoid arthritis who presented with a fever, progressive disturbance of consciousness, high level of rheumatoid factor, and hypocomplementemia. The enhancement of the perforating branches in the left middle cerebral artery led us to suspect CRV. A brain biopsy could not be performed. After we intensified steroid therapy, the size of the cerebral lesions temporarily decreased. However, recurrence in the left frontal lobe occurred one month later, and the patient subsequently died. Early intensive treatments may be needed for CRV.
Identifiants
pubmed: 33087675
doi: 10.2169/internalmedicine.5974-20
pmc: PMC8024958
doi:
Substances chimiques
Rheumatoid Factor
9009-79-4
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
935-940Références
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