AI Article Synopsis

  • Antisynthetase syndrome is a serious disorder related to dermatomyositis/polymyositis, associated with significant health risks.
  • A 71-year-old man diagnosed with this syndrome was treated with rituximab, but nearly three years later, he experienced severe neurological decline, including hemiparesis and cognitive deterioration.
  • The patient's condition was ultimately linked to progressive multifocal leukoencephalopathy, and the rituximab treatment contributed to the risk of these complications.

Article Abstract

Antisynthetase syndrome is a disorder belonging to the dermatomyositis/polymyositis group, with high rates of morbidity and mortality. We herein present the case of a 71-year-old man who was diagnosed with antisynthetase syndrome and treated with rituximab. Almost three years later, the patient showed right-sided hemiparesis that ultimately progressed to complete hemiplegia and advancing cognitive deterioration with a poor clinical outcome. The neuropathological diagnosis was progressive multifocal leukoencephalopathy. Treatment with rituximab for antisynthetase syndrome itself plays a fundamental role in the development of infectious complications.

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http://dx.doi.org/10.2169/internalmedicine.54.2748DOI Listing

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