論文

国際誌
2021年10月8日

Autoimmune glial fibrillary acidic protein astrocytopathy resembling isolated central nervous system lymphomatoid granulomatosis.

Journal of neuroimmunology
  • Akio Kimura
  • ,
  • Shinei Kato
  • ,
  • Akira Takekoshi
  • ,
  • Nobuaki Yoshikura
  • ,
  • Narufumi Yanagida
  • ,
  • Hiroshi Kitaguchi
  • ,
  • Daisuke Akiyama
  • ,
  • Hiroshi Shimizu
  • ,
  • Akiyoshi Kakita
  • ,
  • Takayoshi Shimohata

361
開始ページ
577748
終了ページ
577748
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jneuroim.2021.577748

We report two patients with meningoencephalomyelitis without evidence of extra central nervous system (CNS) involvement. Brain MRI showed linear perivascular radial gadolinium enhancement patterns and spinal cord MRI showed longitudinal extensive T2-hyperintensity lesions. Pathological findings from brain biopsies were angiocentric T-cell predominant lymphoid infiltrates that lacked Epstein-Barr virus-positive atypical B cells. The patients were initially suspected to have isolated CNS-lymphomatoid granulomatosis (LYG). Thereafter, glial fibrillary acidic protein (GFAP)-immunoglobulin G were detected in their cerebrospinal fluid. This finding suggested autoimmune GFAP astrocytopathy. We speculate there is a link between isolated CNS-LYG and autoimmune GFAP astrocytopathy.

リンク情報
DOI
https://doi.org/10.1016/j.jneuroim.2021.577748
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34653948
ID情報
  • DOI : 10.1016/j.jneuroim.2021.577748
  • PubMed ID : 34653948

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