Combination of Neuromyelitis Optica Spectrum Disorder with Myasthenia Gravis, Systemic Lupus Erythematosus and Hashimoto’s Thyroiditis: A Case of Multiple Autoimmune Syndrome

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dc.contributor.authorAkin, Vildan Tuncbilek
dc.contributor.authorAltunan, Bengü
dc.contributor.authorMercan, Rıdvan
dc.contributor.authorÜnal, Aysun
dc.date.accessioned2024-10-29T17:55:12Z
dc.date.available2024-10-29T17:55:12Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesien_US
dc.description.abstractAutoimmunity reflects an altered immune status. The coexistence of three or more autoimmune diseases in a patient constitutes multiple autoimmune syndrome. Here, an interesting case with a history of Hashimoto’s thyroiditis and got the diagnosis of systemic lupus erythematosus during her evaluation, in which the clinical signs of neuromyelitis optica spectrum disorder (NMOSD) and miyasthenia gravis co- occurred will be discussed. In addition to high-dose pulse steroid, plasmapheresis and intravenous immunoglobulin treatments, rituximab treat- ment was started and the patient is followed up without clinical worsening and disability in the three-year follow-up. Patients with diagnosis of NMOSD need special attention as multiple immune-mediated disorders may be present simultaneously or sequentially during the course of the disease process. This case report emphasizes the importance of a multidisciplinary team approach for a better understanding of disorders related to the breakdown of immune tolerance.en_US
dc.identifier.doi10.5336/caserep.2022-94634
dc.identifier.endpage60en_US
dc.identifier.issn2147-9291
dc.identifier.issue1en_US
dc.identifier.startpage56en_US
dc.identifier.trdizinid1172881en_US
dc.identifier.urihttps://doi.org/10.5336/caserep.2022-94634
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1172881
dc.identifier.urihttps://hdl.handle.net/20.500.11776/13886
dc.identifier.volume31en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofTürkiye Klinikleri Journal of Case Reportsen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAutoimmune diseasesen_US
dc.subjectHashimoto’s thyroiditisen_US
dc.subjectNeuromyelitis opticaen_US
dc.subjectmiyasthenia gravisen_US
dc.subjectsystemic lupus erythematosisen_US
dc.titleCombination of Neuromyelitis Optica Spectrum Disorder with Myasthenia Gravis, Systemic Lupus Erythematosus and Hashimoto’s Thyroiditis: A Case of Multiple Autoimmune Syndromeen_US
dc.typeArticleen_US

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