• Internal medicine · Feb 2025

    A Case of Autoimmune Glial Fibrillary Acidic Protein Astrocytopathy Caused by Influenza A Infection.

    • Satomi Okano, Akio Kimura, Takashi Ogasawara, Koji Tagawa, Miho Oshima, Mitsuo Narita, Toshiaki Oka, Tomoaki Murakami, and Makoto Kaneda.
    • Department of Pediatrics, Sapporo Tokushukai Hospital, Japan.
    • Intern. Med. 2025 Feb 8.

    AbstractAutoimmune glial fibrillary acidic protein (GFAP) astrocytopathy is a new spectrum of autoimmune inflammatory nervous system disorders associated with infection, neoplasm, or drug use. We present the first pediatric case of GFAP astrocytopathy caused by an influenza A infection. The patient manifested meningoencephalitis, central respiratory failure, quadriplegia, elimination disorders, and syndrome of inappropriate antidiuretic hormone secretion. Methylprednisolone pulse therapy led to a good prognosis. In cases of progressive atypical complications of influenza infection, immunotherapy-reactive GFAP astrocytopathy should be considered as a differential diagnosis for prompt treatment.

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