Unusual central nervous system involvement of rheumatoid arthritis: successful treatment with steroid and azathioprine
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Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer Heidelberg
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Central nervous system involvement of rheumatoid arthritis (RA) frequently develops in patients who had a long-term history of RA, irrespective of the disease activity of systemic arthritis, and it has a high mortality rate despite treatment. Since clinical symptoms and radiologic signs are rather nonspecific, in short of doing biopsy, the diagnosis of rheumatoid meningitis is one of exclusion. However, the strongly positive rheumatoid factor in the cerebrospinal fluid is quite specific. We here report a 70-year-old man who had not been diagnosed as RA before he was admitted with neurological findings, who was diagnosed as RA later and successfully treated with prednisolone and azathioprine.
Açıklama
Anahtar Kelimeler
Rheumatoid arthritis, Rheumatoid factor, Prednisolone, Azathioprine, Pachymeningitis, Meningitis, Cyclophosphamide
Kaynak
Rheumatology International
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
31
Sayı
10