Recovery from Rheumatoid Cerebral Vasculitis by Low-Dose Methotrexate.

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概要

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• We report the successful management of cerebral vasculitis in a 46-year-old woman with longstanding rheumatoid arthritis with low-dose methotrexate. She suddenly developed dysarthria and left hemiparesis. Magnetic resonance imaging disclosed ischemia of the right pons, and angiography demonstrated cerebral vasculitis of vertebro-basilar arteries. The vasculitis was refractory with high-dose steroid therapy, which had only transient clinical benefit, and evolution to the pontine infarction followed. Her clinical status showed marked improvement in association with recovery of the vascular abnormalities after the initiation of the methotrexate therapy.(Internal Medicine 33: 615-620, 1994)

• 社団法人　日本内科学会の論文

著者

• FURUKAWA Hiroo

  The Rheumatology Unit, Department of Internal Medicine, Ohtsu Red Cross Hospital

• OHNO Tatsuharu

  The Rheumatology Unit, Department of Internal Medicine, Ohtsu Red Cross Hospital

• MATSUDA Isao

  The Neurology Unit, Department of Internal Medicine, Ohtsu Red Cross Hospital

• KANOH Tadashi

  The First Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University

関連論文

• Recovery from Rheumatoid Cerebral Vasculitis by Low-Dose Methotrexate.

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