| Autor: |
Masahiko Ichijo, Miwako Hamagaki, Masaki Sekine, Yoshinobu Eishi, Shunsuke Kudo, Kotaro Yoshioka, Tetsuo Yamada, Mayumi Watanabe, Takuya Ohkubo, Keiji Honda, Takamasa Majima, Eisaku Ito, Takumi Akashi, Satoru Ishibashi, Kokoro Ozaki, Hidehiro Mizusawa, Nobuo Sanjo, Takanori Yokota |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Internal Medicine |
| ISSN: |
1349-7235
0918-2918 |
| Popis: |
Progressive encephalomyelitis with rigidity and myoclonus (PERM) is an autoimmune disorder involving the brainstem and spinal cord and is sometimes associated with thymoma. We encountered a 75-year-old woman with typical PERM features, glycine receptor antibody, and thymoma. Her neurologic symptoms improved after thymectomy, but she unexpectedly developed anasarca with massive pleural effusions and hypoalbuminemia and finally succumbed to death. The autopsy showed edema and mononuclear infiltration in the pleura but no neuropathological findings typical of PERM. Effective treatment of PERM can reverse the neuropathological signs of encephalomyelitis. The autoimmune nature of anasarca is possible but not proven. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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