Neuromyelitis in a Patient with Rheumatoid Arthritis: A Case Report.
FuYong QiangZhi LiLanfang ChenDan XuanJun ShengPublished in: Archives of Iranian medicine (2024)
A patient with longstanding rheumatoid arthritis (RA) complained of spinal cord symptoms after RA relapse. Contrast MRI demonstrated neuromyelitis in the upper thoracic spinal cord, and anti-aquaporin-4 (anti-AQP4) antibody was positive in the serum and cerebrospinal fluid (CSF). Neuromyelitis optica spectrum disorder (NMOSD) was diagnosed after excluding central nervous system (CNS) infection and tumor, and spinal cord symptoms were relieved after high dose of glucocorticoid and immunosuppressant were initiated for treatment.
Keyphrases
- spinal cord
- rheumatoid arthritis
- cerebrospinal fluid
- disease activity
- high dose
- neuropathic pain
- spinal cord injury
- spectrum disorder
- case report
- ankylosing spondylitis
- interstitial lung disease
- contrast enhanced
- magnetic resonance
- low dose
- magnetic resonance imaging
- sleep quality
- computed tomography
- blood brain barrier
- systemic sclerosis
- depressive symptoms
- physical activity