| Literature DB >> 29499442 |
Jie Li1, Yan Xu2, Haitao Ren1, Yicheng Zhu1, Bin Peng1, Liying Cui3.
Abstract
Autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy is a novel autoimmune disease. This is the first report of a case of autoimmune GFAP astrocytopathy after herpes simplex viral encephalitis (HSVE). A 35-year-old female patient presented with a combination of headache, fever, seizure and psychiatric/behavioral abnormalities. She had GFAP-IgG in both serum and cerebrospinal fluid (CSF). Magnetic resonance imaging (MRI) with gadolinium-enhancement revealed linear enhancement oriented radially to the ventricles. After treatment with corticosteroids, her symptoms were alleviated, the lesions enhancement reduced, and the immunoreactive intensity of GFAP-IgG decreased. This case shows an observational link between HSVE and autoimmune GFAP astrocytopathy, suggesting that autoimmune GFAP astrocytopathy may provide a new differential diagnosis for relapsing HSVE.Entities:
Keywords: Astrocytopathy; Encephalitis; Glial fibrillary acidic protein (GFAP); Herpes simplex viral (HSV)
Mesh:
Substances:
Year: 2018 PMID: 29499442 DOI: 10.1016/j.msard.2018.02.020
Source DB: PubMed Journal: Mult Scler Relat Disord ISSN: 2211-0348 Impact factor: 4.339