• Internal medicine · Mar 2021

    Case Reports

    Possible Cerebral Vasculitis in a Case with Rheumatoid Arthritis.

    • Yosuke Takeuchi, Shuei Murahashi, Yasuyuki Hara, and Mitsuharu Ueda.
    • Department of Neurology, Kumamoto Rosai Hospital, Japan.
    • Intern. Med. 2021 Mar 15; 60 (6): 935-940.

    AbstractCerebral rheumatoid vasculitis (CRV) is a rare, fatal, and diagnostically challenging disorder. We herein report an 81-year-old woman with a 4-year history of rheumatoid arthritis who presented with a fever, progressive disturbance of consciousness, high level of rheumatoid factor, and hypocomplementemia. The enhancement of the perforating branches in the left middle cerebral artery led us to suspect CRV. A brain biopsy could not be performed. After we intensified steroid therapy, the size of the cerebral lesions temporarily decreased. However, recurrence in the left frontal lobe occurred one month later, and the patient subsequently died. Early intensive treatments may be needed for CRV.

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