Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1361
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dc.contributorGrose, Danielen_US
dc.contributorLinger, Matthewen_US
dc.contributorTinni, Samaraen_US
dc.contributorSahathevan, Rameshen_US
dc.date.accessioned2019-06-22T05:58:38Z-
dc.date.available2019-06-22T05:58:38Z-
dc.date.issued2019-
dc.identifier.govdoc01344en_US
dc.identifier.urihttp://hdl.handle.net/11054/1361-
dc.description.abstractAn 87-year-old woman with quiescent rheumatoid arthritis, not on immunosuppressive therapy, presented with unilateral arm weakness, confusion and visual hallucinations. There were no infective symptoms or history of malignancy. Cerebrospinal fluid (CSF) analysis demonstrated lymphocytosis and raised protein, without flow cytometric or cytological abnormalities. Viral, bacterial, mycobacterial and fungal testing of CSF and serum were negative. MRI brain indicated unilateral leptomeningeal enhancement. There was no evidence of occult malignancy on CT imaging of the chest, abdomen and pelvis. Rheumatoid factor and anticyclic citrullinated peptide were strongly positive. The patient declined meningeal biopsy but responded to treatment with corticosteroid therapy.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-04-16T05:27:04Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-06-22T05:58:38Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2019-06-22T05:58:38Z (GMT). No. of bitstreams: 0 Previous issue date: 2019en
dc.relation.urihttp://dx.doi.org/10.1136/bcr-2018-227905en_US
dc.titleRheumatoid meningitis: a rare cause of unilateral pachymeningitis.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleBMJ Case Reportsen_US
dc.bibliographicCitation.volume12en_US
dc.bibliographicCitation.stpagee227905en_US
dc.subject.healththesaurusQUIESCENT RHEUMATOID ARTHRITISen_US
dc.subject.healththesaurusUNILATERAL ARM WEAKNESSen_US
dc.subject.healththesaurusVISUAL HALLUCINATIONSen_US
dc.subject.healththesaurusCONFUSIONen_US
dc.subject.healththesaurusLYMPHOCYTOSISen_US
dc.subject.healththesaurusRAISED PROTEINen_US
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