A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation

A 66‐year‐old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1‐weighted images. We...

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Detalles Bibliográficos
Autores principales: Koura, Tomoyuki, Kita, Keiichiro, Konishi, Hirofumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729363/
https://www.ncbi.nlm.nih.gov/pubmed/29264073
http://dx.doi.org/10.1002/jgf2.73
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author Koura, Tomoyuki
Kita, Keiichiro
Konishi, Hirofumi
author_facet Koura, Tomoyuki
Kita, Keiichiro
Konishi, Hirofumi
author_sort Koura, Tomoyuki
collection PubMed
description A 66‐year‐old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1‐weighted images. We presumed the patient was diagnosed as having myeloperoxidase antineutrophil cytoplasmic antibody (MPO‐ANCA)‐related hypertrophic pachymeningitis (HP). Acute impaired consciousness without focal signs is an unusual presentation of HP. This treatable disease should be considered as a differential diagnosis when a patient presents with drowsiness and headache.
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spelling pubmed-57293632017-12-20 A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation Koura, Tomoyuki Kita, Keiichiro Konishi, Hirofumi J Gen Fam Med Case Reports A 66‐year‐old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1‐weighted images. We presumed the patient was diagnosed as having myeloperoxidase antineutrophil cytoplasmic antibody (MPO‐ANCA)‐related hypertrophic pachymeningitis (HP). Acute impaired consciousness without focal signs is an unusual presentation of HP. This treatable disease should be considered as a differential diagnosis when a patient presents with drowsiness and headache. John Wiley and Sons Inc. 2017-09-15 /pmc/articles/PMC5729363/ /pubmed/29264073 http://dx.doi.org/10.1002/jgf2.73 Text en © 2017 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Koura, Tomoyuki
Kita, Keiichiro
Konishi, Hirofumi
A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation
title A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation
title_full A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation
title_fullStr A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation
title_full_unstemmed A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation
title_short A case of suspected MPO‐ANCA‐related hypertrophic pachymeningitis with atypical presentation
title_sort case of suspected mpo‐anca‐related hypertrophic pachymeningitis with atypical presentation
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729363/
https://www.ncbi.nlm.nih.gov/pubmed/29264073
http://dx.doi.org/10.1002/jgf2.73
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