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Review
. 2021 Jan;8(1):48-50.
doi: 10.5152/eurjrheum.2020.20063. Epub 2020 Oct 8.

Leptomeningitis in rheumatoid arthritis

Emmanuel Manolios  1 , Nicholas Manolios  1   2 , David Spencer  1   2
Affiliations
Review

Leptomeningitis in rheumatoid arthritis

Emmanuel Manolios et al. Eur J Rheumatol. 2021 Jan.

Abstract

In this case report, we describe the case of a patient given the presumptive diagnosis of rheumatoid leptomeningitis on the basis of clinical findings and clinical response to antirheumatic medications after other causes of meningitis were excluded. Numerous case reports describe rheumatoid meningitis; however, rheumatoid leptomeningitis, in the absence of pachymeningitis, is a rare phenomenon. As such, the literature about it is scant. This unique case provides an opportunity to further characterize the symptoms and radiological findings of leptomeningitis in a patient with rheumatoid arthritis.

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Conflict of interest statement

Conflict of Interest: The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Gadolinium-enhanced axial T1-weighted image showing leptomeningeal enhancement and hyperintense signal in cerebrospinal fluid space, especially over the falx (arrows) and sulci.
See this image and copyright information in PMC

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