Neuromyelitis Optica Preceded by HyperCKemia and a Possible Association with Coxsackie Virus Group A10 Infection
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概要
- 論文の詳細を見る
We report the case of a 48-year-old woman presenting with an elevated serum creatine kinase level (hyperCKemia) associated with an initial attack of neuromyelitis optica (NMO). The patient initially showed general fatigue with fever. Laboratory findings showed hyperCKemia and subsequently she developed a slight weakness of both lower limbs and reduced vision. Autoantibodies against aquaporin 4 were found in her serum, and a retrospective examination of viral titers indicated a possible coxsackie virus group A10 infection. The present case suggests that hyperCKemia-mediated disease onset is involved in some patients with NMO, and furthermore, it may be related to muscular destruction associated with viral infection.
- 社団法人 日本内科学会の論文
著者
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Tanji Haruko
Department Of Geriatric And Respiratory Medicine Center For Asian Traditional Medicine Research Toho
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Okada Hiroaki
Department Of Chemistry Faculty Of Science Kyoto University
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Yamaguchi Yoshitaka
Department Of Advanced Materials Chemistry Graduate School Of Engineering Yokohama National Universi
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Wada Manabu
Department Of Neurology Hematology Metabolism Endocrinology And Diabetes Yamagata University School
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Kawanami Toru
Department Of Neurology Hematology Metabolism Endocrinology And Diabetes Yamagata University School
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Sato Hiroyasu
Department Of Applied Physics Faculty Of Engineering Hokkaido University
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Kurokawa Katsuro
Department Of Neurology Hematology Metabolism Endocrinology And Diabetology Yamagata University Faculty Of Medicine
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KATO Takeo
Department of Applied Physics, Osaka City University
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Takahashi Toshiyuki
Department of Applied Chemistry, Faculty of Science and Engineering, Kinki University
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Okada Hiroaki
Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology, Yamagata University Faculty of Medicine, Japan
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Kawanami Toru
Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology, Yamagata University Faculty of Medicine, Japan
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Tanji Haruko
Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology, Yamagata University Faculty of Medicine, Japan
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Yamaguchi Yoshitaka
Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology, Yamagata University Faculty of Medicine, Japan
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Sato Hiroyasu
Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology, Yamagata University Faculty of Medicine, Japan
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Kato Takeo
Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology, Yamagata University Faculty of Medicine, Japan
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