Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis
A 56-year-old male with a history of seropositive rheumatoid arthritis complained of polyarthritis and forgetfulness. The initial CT scan of the head without contrast was negative for acute pathologies. However, as he continued to decline despite being on oral prednisone, an MRI of the head was orde...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2020/8844951 |
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| author | Pablo Weilg Giancarlo Diaz-Zamora Larry Young |
| author_facet | Pablo Weilg Giancarlo Diaz-Zamora Larry Young |
| author_sort | Pablo Weilg |
| collection | DOAJ |
| description | A 56-year-old male with a history of seropositive rheumatoid arthritis complained of polyarthritis and forgetfulness. The initial CT scan of the head without contrast was negative for acute pathologies. However, as he continued to decline despite being on oral prednisone, an MRI of the head was ordered and revealed a subtle small region of acute infarction in the left mammillary body. He was diagnosed with granulomatosis with polyangiitis in light of his positive C-ANCA antibodies, PR3 antibody, and a kidney biopsy, which showed focal necrotizing pauci-immune crescentic glomerulonephritis. Despite undergoing steroid pulse therapy, the patient developed diffuse alveolar damage which finally responded to rituximab infusion. |
| format | Article |
| id | doaj-art-87e5ea72ff464e938acba2c38f2ba4aa |
| institution | OA Journals |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-87e5ea72ff464e938acba2c38f2ba4aa2025-08-20T02:09:09ZengWileyCase Reports in Rheumatology2090-68892090-68972020-01-01202010.1155/2020/88449518844951Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with PolyangiitisPablo Weilg0Giancarlo Diaz-Zamora1Larry Young2MercyOne North Iowa Medical Center, 1000 4th St SW, Mason City, IA 50401, USAMercyOne North Iowa Medical Center, 1000 4th St SW, Mason City, IA 50401, USAUniversity of Miami, Division of Rheumatology, 1120 NW 14th St, Miami, FL 33136, USAA 56-year-old male with a history of seropositive rheumatoid arthritis complained of polyarthritis and forgetfulness. The initial CT scan of the head without contrast was negative for acute pathologies. However, as he continued to decline despite being on oral prednisone, an MRI of the head was ordered and revealed a subtle small region of acute infarction in the left mammillary body. He was diagnosed with granulomatosis with polyangiitis in light of his positive C-ANCA antibodies, PR3 antibody, and a kidney biopsy, which showed focal necrotizing pauci-immune crescentic glomerulonephritis. Despite undergoing steroid pulse therapy, the patient developed diffuse alveolar damage which finally responded to rituximab infusion.http://dx.doi.org/10.1155/2020/8844951 |
| spellingShingle | Pablo Weilg Giancarlo Diaz-Zamora Larry Young Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis Case Reports in Rheumatology |
| title | Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis |
| title_full | Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis |
| title_fullStr | Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis |
| title_full_unstemmed | Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis |
| title_short | Amnesia in a Patient with Rheumatoid Arthritis: A Case of Granulomatosis with Polyangiitis |
| title_sort | amnesia in a patient with rheumatoid arthritis a case of granulomatosis with polyangiitis |
| url | http://dx.doi.org/10.1155/2020/8844951 |
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