カイダ ケンイチ   KAIDA Kenichi
  海田 賢一
   所属   埼玉医科大学  医学部 総合医療センター 脳神経内科
   職種   教授
論文種別 学術雑誌(原著)
言語種別 日本語
査読の有無 査読あり
表題 An anti-RNP antibody-positive case of aseptic meningitis induced by non-steroidal anti-inflammatory drugs in a young woman
掲載誌名 正式名:Clinical Neurology
ISSNコード:0009918X
出版社 Societas Neurologica Japonica
巻・号・頁 58(1),25-29頁
著者・共著者 Taro Matsui,Keiichi Nakagawa,Keishi Yamazaki,Taishi Wada,Masato Kadoya,Kenichi Kaida
発行年月 2018
概要 A 19-year-old woman developed high fever, headache, and nausea after taking Loxoprofen for pharyngitis, followed by disturbed consciousness and nuchal stiffness. The patient and her mother had a history of Raynaud's phenomenon. Cerebrospinal fluid (CSF) examination indicated a diagnosis of aseptic meningitis and revealed high levels of Q albumin and IgG index. Anti-RNP antibodies were positive in serum and CSF. Her symptoms disappeared immediately after cessation of Loxoprofen and a drug lymphocyte stimulation test was negative, confirming a diagnosis of non-steroidal anti-inflammatory drugs (NSAIDs)-induced aseptic meningitis. It should be kept in mind that an immune abnormality such as serum and CSF anti-RNP antibodies may play a role in development of NSAIDs-induced aseptic meningitis. A history of usage of NSAIDs and a thorough examination of collagen diseases are useful for identification of the origin of aseptic meningitis in a young woman.
DOI 10.5692/clinicalneurol.cn-001085
PMID 29269694