A case of suspected MPO-ANCA-related hypertrophic pachymeningitis with atypical presentation

Tomoyuki Koura; Keiichiro Kita; Hirofumi Konishi

doi:10.1002/jgf2.73

A case of suspected MPO-ANCA-related hypertrophic pachymeningitis with atypical presentation

Tomoyuki Koura^*, Keiichiro Kita, Hirofumi Konishi

^*Corresponding author for this work

Department of General Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 66-year-old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1-weighted images. We presumed the patient was diagnosed as having myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA)-related hypertrophic pachymeningitis (HP). Acute impaired consciousness without focal signs is an unusual presentation of HP. This treatable disease should be considered as a differential diagnosis when a patient presents with drowsiness and headache.

Original language	English
Pages (from-to)	409-410
Number of pages	2
Journal	Journal of General and Family Medicine
Volume	18
Issue number	6
DOIs	https://doi.org/10.1002/jgf2.73
State	Published - 2017/12

Keywords

MPO-ANCA
consciousness disorder
headache
hypertrophic pachymeningitis

ASJC Scopus subject areas

Family Practice
Geriatrics and Gerontology
Internal Medicine

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title = "A case of suspected MPO-ANCA-related hypertrophic pachymeningitis with atypical presentation",

abstract = "A 66-year-old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1-weighted images. We presumed the patient was diagnosed as having myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA)-related hypertrophic pachymeningitis (HP). Acute impaired consciousness without focal signs is an unusual presentation of HP. This treatable disease should be considered as a differential diagnosis when a patient presents with drowsiness and headache.",

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AU - Koura, Tomoyuki

AU - Kita, Keiichiro

AU - Konishi, Hirofumi

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N2 - A 66-year-old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1-weighted images. We presumed the patient was diagnosed as having myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA)-related hypertrophic pachymeningitis (HP). Acute impaired consciousness without focal signs is an unusual presentation of HP. This treatable disease should be considered as a differential diagnosis when a patient presents with drowsiness and headache.

AB - A 66-year-old man presented to our emergency department with acute consciousness disorder, headache, and fever. Initial laboratory data indicated a high level of inflammatory reaction. Enhanced magnetic resonance imaging revealed a thickening of the right cranial dura mater on T1-weighted images. We presumed the patient was diagnosed as having myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA)-related hypertrophic pachymeningitis (HP). Acute impaired consciousness without focal signs is an unusual presentation of HP. This treatable disease should be considered as a differential diagnosis when a patient presents with drowsiness and headache.

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ER -

A case of suspected MPO-ANCA-related hypertrophic pachymeningitis with atypical presentation

Abstract

Keywords

ASJC Scopus subject areas

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