Unusual central nervous system involvement of rheumatoid arthritis: successful treatment with steroid and azathioprine

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Küçük Resim

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

Künye