論文

査読有り 最終著者
2021年8月26日

[A case of neuro-Behçet's disease triggered by herpes zoster-associated uveitis].

Rinsho shinkeigaku = Clinical neurology
  • Naoki Okamoto
  • ,
  • Nobuhiro Ogawa
  • ,
  • Akihiro Kitamura
  • ,
  • Isamu Yamakawa
  • ,
  • Hyoh Kim
  • ,
  • Makoto Urushitani

61
9
開始ページ
640
終了ページ
645
記述言語
日本語
掲載種別
研究論文(学術雑誌)
DOI
10.5692/clinicalneurol.cn-001625

A 69-year-old man was admitted for persistent fever, arthralgia, and visual impairment. Physical examination demonstrated bilateral uveitis and recurrent aphthous stomatitis. The PCR analysis of the aqueous humor of the anterior chamber was positive for the Varicella-zoster virus (VZV). Although no neurological defect was evident, the cerebrospinal fluid contained elevated monocytes but was negative for VZV-PCR. Brain MRI revealed Gd-enhanced lesions in the subcortical white matter, basal ganglia, and cerebellum. With his positive HLAB51, he was diagnosed with neuro-Behcet's disease (NBD) and was successfully treated with high-dose prednisolone. Although the pathogenesis of Behcet's disease is still unknown, the involvement of viral infection is reported. The present case implies that NBD could be triggered by herpes zoster virus associate-uveitis; the accumulation of such cases would help clarify the pathogenesis of Behcet's disease.

リンク情報
DOI
https://doi.org/10.5692/clinicalneurol.cn-001625
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34433748
ID情報
  • DOI : 10.5692/clinicalneurol.cn-001625
  • PubMed ID : 34433748

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