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Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case
Hashimoto's Encephalopathy (HE), also known as steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT), is a proteiform disorder known for its wide spectrum of presentations from subtle neuropsychiatric manifestations, movement disorders, seizures, stroke-like episodes...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266246/ https://www.ncbi.nlm.nih.gov/pubmed/32509688 http://dx.doi.org/10.4103/jfmpc.jfmpc_1197_19 |
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author | Ghosh, Ritwik Chatterjee, Subhankar Roy, Devlina Dubey, Souvik Ray, Biman Kanti |
author_facet | Ghosh, Ritwik Chatterjee, Subhankar Roy, Devlina Dubey, Souvik Ray, Biman Kanti |
author_sort | Ghosh, Ritwik |
collection | PubMed |
description | Hashimoto's Encephalopathy (HE), also known as steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT), is a proteiform disorder known for its wide spectrum of presentations from subtle neuropsychiatric manifestations, movement disorders, seizures, stroke-like episodes to coma. Here, we report a case of HE which initially masqueraded as bipolar affective disorder (BPAD) and ultimately progressed to generalized tonic clonic seizures and coma. Although SREAT is characterized by exquisite responsive to steroid, in our case it was unresponsive to pulse methylprednisolone therapy. Rapid recovery was noted with intravenous immunoglobulin (IVIG) therapy. This case was also peculiar for its association with non-sydnromic retinitis pigmetosa (RP). To the best of our knowledge, this was the first reported case of HE which was associated with RP. |
format | Online Article Text |
id | pubmed-7266246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-72662462020-06-04 Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case Ghosh, Ritwik Chatterjee, Subhankar Roy, Devlina Dubey, Souvik Ray, Biman Kanti J Family Med Prim Care Case Report Hashimoto's Encephalopathy (HE), also known as steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT), is a proteiform disorder known for its wide spectrum of presentations from subtle neuropsychiatric manifestations, movement disorders, seizures, stroke-like episodes to coma. Here, we report a case of HE which initially masqueraded as bipolar affective disorder (BPAD) and ultimately progressed to generalized tonic clonic seizures and coma. Although SREAT is characterized by exquisite responsive to steroid, in our case it was unresponsive to pulse methylprednisolone therapy. Rapid recovery was noted with intravenous immunoglobulin (IVIG) therapy. This case was also peculiar for its association with non-sydnromic retinitis pigmetosa (RP). To the best of our knowledge, this was the first reported case of HE which was associated with RP. Wolters Kluwer - Medknow 2020-03-26 /pmc/articles/PMC7266246/ /pubmed/32509688 http://dx.doi.org/10.4103/jfmpc.jfmpc_1197_19 Text en Copyright: © 2020 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Ghosh, Ritwik Chatterjee, Subhankar Roy, Devlina Dubey, Souvik Ray, Biman Kanti Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case |
title | Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case |
title_full | Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case |
title_fullStr | Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case |
title_full_unstemmed | Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case |
title_short | Hashimoto's encephalopathy in association with retinitis pigmentosa – First reported case |
title_sort | hashimoto's encephalopathy in association with retinitis pigmentosa – first reported case |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266246/ https://www.ncbi.nlm.nih.gov/pubmed/32509688 http://dx.doi.org/10.4103/jfmpc.jfmpc_1197_19 |
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