ChloroquineV1, Main, Exploration, bibRecord, 000276

When the plot thickens: a rare complication of rheumatoid arthritis

Identifieur interne : 000276 ( Main/Exploration ); précédent : 000275; suivant : 000277

When 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.

RBID : PMC:6484464

Abstract

ABSTRACT

Introduction: 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.

Case description: 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.

Conclusion: 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.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484464

DOI: 10.1080/20009666.2019.1593780
PubMed: 31044046
PubMed Central: 6484464

Affiliations:

États-Unis

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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: 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>
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: 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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When the plot thickens: a rare complication of rheumatoid arthritis

When the plot thickens: a rare complication of rheumatoid arthritis

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