AI Article Synopsis
- Rheumatoid meningitis is a rare condition linked to long-term rheumatoid arthritis, exemplified by a case involving a 39-year-old woman from Bolivia with a 12-year history of the disease.
- The diagnosis was confirmed through a combination of her medical history, lab tests, cerebrospinal fluid analysis, and MRI results.
- Following treatment with high-dose glucocorticoids and rituximab, the patient showed significant improvement, and follow-up imaging indicated reduced inflammation in the meninges.
Article Abstract
Rheumatoid meningitis is a rare complication of long-standing rheumatoid arthritis. We present the case of a 39-year-old Bolivian woman with a history of seropositive rheumatoid arthritis of 12 years of evolution without extra-articular manifestations that develops a severe headache with vomiting. The diagnosis of rheumatoid meningitis was performed based on clinical history, blood count and biochemistry results, cerebrospinal fluid analysis and cranial magnetic resonance imaging findings. High-dose intravenous glucocorticoids were started, followed by rituximab. After treatment, a significant clinical improvement was observed and repeat magnetic resonance imaging scan confirmed an improvement of the meningeal lesions.
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| http://dx.doi.org/10.1080/24725625.2020.1860439 | DOI Listing |
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