凯尔奇样蛋白-11脑炎与来源不明的状细胞癌相关:一个病例报告
Yoji Hoshina1, Collin Gradin1, Sarah Germaine1
1Department of Neurology, University of Utah, Salt Lake City.
Neurology. Clinical practice
|November 20, 2023
概括
本案例研究描述了与未知的部状细胞癌 (SCC) 相关的凯尔奇样蛋白-11 (KLHL11) 大脑炎. 治疗改善了神经和皮肤症状,表明一种新的疾病相关性.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 凯尔奇样蛋白-11 (KLHL11) 脑炎是一种罕见的自身免疫性疾病.
- 麻性综合征可以表现为各种神经系统症状.
- 状细胞癌 (SCC) 是一种常见的恶性瘤,具有潜在的瘤相关性.
研究的目的:
- 报告首例KLHL11脑炎与部未知来源的SCC相关的病例.
- 描述临床表现,诊断发现和治疗结果.
- 突出KLHL11脑炎和部SCC之间的潜在新相关性.
主要方法:
- 一名70岁的男性患者出现了亚急性神经缺陷和皮肤病变.
- 诊断工作包括脑MRI,部CT,以及对KLHL11抗体的血清/中枢神经液检测.
- 治疗包括免疫疗法 (IVIg,甲基prednisolone,血合成,环胺),辐射和手术.
主要成果:
- 该患者被诊断患有KLHL11脑炎和来源不明的SCC.
- 神经系统症状 (性关节障碍,失衡,双眼) 和皮肤症状在治疗后显著改善.
- 病理学证实了部质中的SCC,并在血清和CSF中检测到KLHL11抗体.
结论:
- 这一案例确立了KLHL11脑炎和隐性部SCC之间的联系.
- 这些发现表明KLHL11脑炎的潜在副瘤病因.
- 早期诊断和多模式治疗可以导致显著的临床改善.
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