When the plot thickens: a rare complication of rheumatoid arthritis
Identifieur interne : 000276 ( Main/Exploration ); précédent : 000275; suivant : 000277When the plot thickens: a rare complication of rheumatoid arthritis
Auteurs : Marianne Scheitel [États-Unis] ; Samuel T. Ives [États-Unis] ; Rawad Nasr [États-Unis] ; Marc W. Nolan [États-Unis]Source :
- Journal of Community Hospital Internal Medicine Perspectives [ 2000-9666 ] ; 2019.
Abstract
Url:
DOI: 10.1080/20009666.2019.1593780
PubMed: 31044046
PubMed Central: 6484464
Affiliations:
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Le document en format XML
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<author><name sortKey="Scheitel, Marianne" sort="Scheitel, Marianne" uniqKey="Scheitel M" first="Marianne" last="Scheitel">Marianne Scheitel</name>
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<country xml:lang="fr">États-Unis</country>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">When the plot thickens: a rare complication of rheumatoid arthritis</title>
<author><name sortKey="Scheitel, Marianne" sort="Scheitel, Marianne" uniqKey="Scheitel M" first="Marianne" last="Scheitel">Marianne Scheitel</name>
<affiliation wicri:level="1"><nlm:aff id="AFF0001"><institution>Department of Internal Medicine, Hennepin County Medical Center, University of Minnesota Medical School</institution>
, Minneapolis, MN,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Ives, Samuel T" sort="Ives, Samuel T" uniqKey="Ives S" first="Samuel T." last="Ives">Samuel T. Ives</name>
<affiliation wicri:level="1"><nlm:aff id="AFF0002"><institution>Division of General Internal Medicine, Hennepin County Medical Center</institution>
, Minneapolis, MN,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
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<affiliation wicri:level="1"><nlm:aff id="AFF0003"><institution>Medicine, University of Minnesota</institution>
, Minneapolis, MN,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Nasr, Rawad" sort="Nasr, Rawad" uniqKey="Nasr R" first="Rawad" last="Nasr">Rawad Nasr</name>
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, Minneapolis, MN,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:aff id="AFF0004"><institution>Division of Rheumatology, Hennepin County Medical Center</institution>
, Minneapolis, MN,<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Nolan, Marc W" sort="Nolan, Marc W" uniqKey="Nolan M" first="Marc W." last="Nolan">Marc W. Nolan</name>
<affiliation wicri:level="1"><nlm:aff id="AFF0005"><institution>Division of Rheumatology, HealthPartners</institution>
, Saint Paul, MN,<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<series><title level="j">Journal of Community Hospital Internal Medicine Perspectives</title>
<idno type="eISSN">2000-9666</idno>
<imprint><date when="2019">2019</date>
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<front><div type="abstract" xml:lang="en"><title>ABSTRACT</title>
<p><bold>Introduction</bold>
: Rheumatoid arthritis (RA) is a common illness with many extraarticular manifestations. Rheumatoid pachymeningitis is a rare neurologic complication of this common disease. Here in we present a patient with longstanding RA who developed this uncommon complication.</p>
<p><bold>Case description</bold>
: A 75-year-old woman with longstanding RA presented to the clinic with multiple seizure-like spells per day. Upon admission to the hospital, brain MRI showed enhancement of the meninges. After an extensive workup for possible other infectious or inflammatory causes, the patient was diagnosed with rheumatoid pachymeningitis.</p>
<p><bold>Conclusion</bold>
: Rheumatoid pachymeningitis is a rare complication of RA that usually occurs late in the disease course. It may have many neurologic manifestations include mimicking seizure or stroke and must be considered in patients with RA presenting with neurologic symptoms. Pachymeningitis is treated distinctly from articular RA, so early recognition can lead to appropriate treatment.</p>
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