Movement Disorders (revue)

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GAD antibody positive paraneoplastic stiff person syndrome in a patient with renal cell carcinoma

Identifieur interne : 001942 ( Istex/Checkpoint ); précédent : 001941; suivant : 001943

GAD antibody positive paraneoplastic stiff person syndrome in a patient with renal cell carcinoma

Auteurs : John C. Mchugh [Irlande (pays)] ; Brian Murray [Irlande (pays)] ; Radhakrishnan Renganathan [Irlande (pays)] ; Sean Connolly [Irlande (pays)] ; Tim Lynch [Irlande (pays)]

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RBID : ISTEX:1CA19F5C042BAD965EFC9068ED0435F185A3C9BE

English descriptors

Abstract

Stiff person syndrome (SPS) is an unusual cause of muscle rigidity and spasms. It is believed to have an autoimmune pathogenesis and is associated with autoantibodies to glutamic acid decarboxylase (GAD). Paraneoplastic SPS (PSPS) has been described mainly in relation to breast cancer and is associated with antibodies to amphiphysin. Few reports of PSPS document the finding of GAD autoantibodies. We present the first reported case of anti‐GAD positive PSPS in a 53‐year‐old male with occult renal carcinoma. Clinical benefit was marked following nephrectomy and intravenous immunoglobulin treatment. Renal carcinoma should be considered in patients with SPS. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21374


Affiliations:


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ISTEX:1CA19F5C042BAD965EFC9068ED0435F185A3C9BE

Le document en format XML

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<title level="j">Movement Disorders</title>
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<div type="abstract" xml:lang="en">Stiff person syndrome (SPS) is an unusual cause of muscle rigidity and spasms. It is believed to have an autoimmune pathogenesis and is associated with autoantibodies to glutamic acid decarboxylase (GAD). Paraneoplastic SPS (PSPS) has been described mainly in relation to breast cancer and is associated with antibodies to amphiphysin. Few reports of PSPS document the finding of GAD autoantibodies. We present the first reported case of anti‐GAD positive PSPS in a 53‐year‐old male with occult renal carcinoma. Clinical benefit was marked following nephrectomy and intravenous immunoglobulin treatment. Renal carcinoma should be considered in patients with SPS. © 2007 Movement Disorder Society</div>
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