Elevated cerebrospinal fluid levels of total protein in patients with secondary central nervous system vasculitis and giant cell arteritis.

Abstract:

:Objectives: Secondary central nervous system vasculitis (SCNSV) is an extremely rare, refractory, and fatal disease in patients with giant cell arteritis (GCA). We compared the characteristics of GCA patients with and without SCNSV.Methods: This retrospective, single-center, observational cohort study included 35 patients with GCA admitted to Juntendo University Hospital from April 2009 to March 2019. The primary outcome was all-cause mortality.Results: We diagnosed four patients with GCA and SCNSV (SCNSV group) and 31 patients with GCA but no SCNSV (non-SCNSV group). The mortality rate of the SCNSV and non-SCNSV groups was 100% and 10%, respectively (p = .001). The SCNSV group had lower serum levels of C-reactive protein at the time of GCA diagnosis and higher cerebrospinal fluid (CSF) levels of total protein (102 mg/dL vs. 38 mg/dL, p = .008) and albumin (66 mg/dL vs. 21 mg/dL, p = .008) at the time of SCNSV diagnosis.Conclusion: At the time of SCNSV diagnosis, GCA patients had elevated CSF total protein and albumin levels. CSF examination in GCA patients suspected of having SCNSV may be useful for early diagnosis of SCNSV.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Abe Y,Harada M,Tada K,Yamaji K,Tamura N

doi

10.1080/14397595.2019.1679974

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1033-1038

issue

6

eissn

1439-7595

issn

1439-7609

journal_volume

30

pub_type

杂志文章
  • The effect and possible clinical efficacy of in vivo inhibition of neutrophil extracellular traps by blockade of PI3K-gamma on the pathogenesis of microscopic polyangiitis.

    abstract:OBJECTIVE:Neutrophil extracellular traps (NETs) are peculiar structures composed of the externalized chromatin with intracellular proteins and formed by activated neutrophils in a reactive oxygen species (ROS)-dependent manner. Aberrant NETs are considered to be autoantigens for anti-neutrophil cytoplasmic antibodies (...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2017.1367116

    authors: Kimura H,Matsuyama Y,Araki S,Koizumi A,Kariya Y,Takasuga S,Eguchi S,Nakanishi H,Sasaki J,Sasaki T

    更新日期:2018-05-01 00:00:00

  • Postoperative complications in patients with rheumatoid arthritis using a biological agent - A systematic review and meta-analysis.

    abstract:OBJECTIVES:To evaluate, through a systematic review of the literature, the association between the use of biological disease-modifying antirheumatic drugs (bDMARDs) and surgical site infection (SSI) or wound healing delay after orthopedic surgery in patients with rheumatoid arthritis (RA). METHODS:A systematic review ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,meta分析,评审

    doi:10.3109/14397595.2015.1014302

    authors: Ito H,Kojima M,Nishida K,Matsushita I,Kojima T,Nakayama T,Endo H,Hirata S,Kaneko Y,Kawahito Y,Kishimoto M,Seto Y,Kamatani N,Tsutani K,Igarashi A,Hasegawa M,Miyasaka N,Yamanaka H

    更新日期:2015-09-01 00:00:00

  • Proximal rotational closing-wedge osteotomy of the first metatarsal in rheumatoid arthritis: clinical and radiographic evaluation of a continuous series of 35 cases.

    abstract:OBJECTIVES:The introduction of powerful antirheumatic drugs has dramatically improved the treatment of rheumatoid arthritis (RA), leading clinicians to reconsider the benefits of joint preservation for rheumatoid forefoot deformities. We have employed joint-preserving forefoot surgeries, including rotational closing-we...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0776-9

    authors: Yano K,Ikari K,Iwamoto T,Saito A,Naito Y,Kawakami K,Suzuki T,Imamura H,Sakuma Y,Hiroshima R,Momohara S

    更新日期:2013-09-01 00:00:00

  • The 2020 revised comprehensive diagnostic (RCD) criteria for IgG4-RD.

    abstract::IgG4-related disease (IgG4-RD) is a fascinating clinical entity first reported in this century in Japan, and includes a wide variety of diseases, such as formerly named Mikulicz's disease (MD), autoimmune pancreatitis (AIP), interstitial nephritis, prostatitis and retroperitoneal fibrosis. The Japanese IgG4 team organ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1859710

    authors: Umehara H,Okazaki K,Kawa S,Takahashi H,Goto H,Matsui S,Ishizaka N,Akamizu T,Sato Y,Kawano M,Research Program for Intractable Disease by the Ministry of Health, Labor and Welfare (MHLW) Japan.

    更新日期:2021-01-28 00:00:00

  • Safety and efficacy of combination therapy of iguratimod with methotrexate for patients with active rheumatoid arthritis with an inadequate response to methotrexate: an open-label extension of a randomized, double-blind, placebo-controlled trial.

    abstract:OBJECTIVE:To obtain safety and efficacy data on combination treatment with iguratimod and methotrexate (MTX) in an open-label extension study in patients with active rheumatoid arthritis (RA). METHODS:Following a 28-week, randomized, double-blind trial of adding iguratimod or placebo to stable MTX therapy, patients en...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/14397595.2013.843756

    authors: Hara M,Ishiguro N,Katayama K,Kondo M,Sumida T,Mimori T,Soen S,Nagai K,Yamaguchi T,Yamamoto K,Iguratimod-Clinical Study Group.

    更新日期:2014-05-01 00:00:00

  • Cyclosporin A treatment for Japanese patients with severe adult-onset Still's disease.

    abstract::For over 10 years there have been no clinical studies about adult-onset Still's disease (AOSD) in Japan. We aimed to investigate recent clinical features and treatment of AOSD and to evaluate the efficacy of cyclosporin A (CyA) in the treatment of AOSD. The data from 34 patients with AOSD who were admitted to our hosp...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-008-0126-0

    authors: Mitamura M,Tada Y,Koarada S,Inoue H,Suematsu R,Ohta A,Nagasawa K

    更新日期:2009-01-01 00:00:00

  • Successful treatment of Group A β-hemolytic Streptococcus infection-associated juvenile cutaneous polyarteritis nodosa with tonsillectomy.

    abstract::Cutaneous polyarteritis nodosa (cutaneous PAN) is a form of necrotizing vasculitis of small- and medium-sized arteries, primarily involving the skin. In juvenile cases, cutaneous PAN is known to be frequently associated with Group A β-hemolytic Streptococcus (GAS) infections. We herein describe the first reported juve...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.844388

    authors: Yamamoto T,Inoue Y,Tomiita M,Oikawa M,Kambe N,Arima T,Shimojo N,Kohno Y

    更新日期:2015-01-01 00:00:00

  • Nuclear factor-κB regulates RANTES chemokine expression in response to tumor necrosis factor-α in fibroblast-like synoviocytes.

    abstract::Abstract We investigated the role of nuclear factor (NF)-κB on tumor necrosis factor (TNF)-α-induced regulated upon activation, normal T-cell expressed and secreted (RANTES) expression in fibroblast-like synoviocytes from patients with rheumatoid arthritis (RA). Using cultured human fibroblast-like synoviocytes from p...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650200006

    authors: Hirano F,Kobayashi A,Hirano Y,Nomura Y,Fukawa E,Makino I

    更新日期:2002-03-01 00:00:00

  • Renal outcomes in mixed proliferative and membranous lupus nephritis (Class III/IV + V): A long-term observational study.

    abstract:OBJECTIVES:In this study, we aimed to assess the effect of combination of proliferative and membranous lesions (Class III + V or IV + V) on renal outcomes as an independent category distinct from Class III and IV. METHODS:We retrospectively analyzed 103 Japanese patients (14 male and 89 female) with Class III/IV LN, w...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1158896

    authors: Ikeuchi H,Hiromura K,Kayakabe K,Tshilela KA,Uchiyama K,Hamatani H,Sakairi T,Kaneko Y,Maeshima A,Nojima Y

    更新日期:2016-11-01 00:00:00

  • The levels of leukemia inhibitory factor in synovial tissues of patients with rheumatoid arthritis: inflammation and other proinflammatory cytokines.

    abstract::Abstract To clarify the effect of leukemia inhibitory factor (LIF) on the destruction of rheumatoid arthritis (RA) joints, we investigated the production of LIF and the expression of LIF mRNA in synovial tissues from patients with RA and osteoarthritis (OA). Synovial fluids from RA were used to measure the LIF concent...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s10165-002-0210-9

    authors: Enomoto H,Saito S,Yabe H,Toyama Y,Tomatu T

    更新日期:2003-06-01 00:00:00

  • Subchondral bone sclerosis in osteoarthritis: not just an innocent bystander.

    abstract::Abstract  Osteoarthritis (OA) is considered to be a complex illness in which the tissues of the joint play a significant role in the initiation and/or progression of the pathophysiology. We still do not completely understand what initiates the degradation and loss of cartilage. However, it has been suggested that incr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650300001

    authors: Lajeunesse D,Massicotte F,Pelletier JP,Martel-Pelletier J

    更新日期:2003-03-01 00:00:00

  • Prevalence and risk factors of vertebral fracture in female Japanese patients with systemic lupus erythematosus.

    abstract:OBJECTIVE:We examined the prevalence and risk factors of vertebral fracture in female Japanese patients with systemic lupus erythematosus (SLE). METHODS:We performed lateral radiographs of the thoracic and lumbar spine and bone mineral density (BMD) measurements and collected demographic, lifestyle, clinical, and trea...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0735-5

    authors: Furukawa M,Kiyohara C,Horiuchi T,Tsukamoto H,Mitoma H,Kimoto Y,Uchino A,Nakagawa M,Oryoji K,Shimoda T,Harada M,Akashi K

    更新日期:2013-07-01 00:00:00

  • Impact of methotrexate dose on efficacy of adalimumab in Japanese patients with rheumatoid arthritis: Results from registered data analyses.

    abstract:OBJECTIVE:Upper limit of methotrexate (MTX) for patients with rheumatoid arthritis (RA) was recently increased from 8 to 16 mg/week in Japan. We therefore examined the effect of concomitant MTX dose on the efficacy of adalimumab (ADA) in clinical practice. METHOD:Sixty-one consecutive RA patients treated with ADA were...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1170958

    authors: Nakashima Y,Miyahara H,Kondo M,Fukuda T,Harada H,Haraguchi A,Inoue Y,Ishinishi T,Maekawa M,Maeyama A,Nakashima M,Shono E,Suematsu E,Shimauchi T,Tsuru T,Tsukamoto H,Yoshizawa S,Yoshizawa S,Iwamoto Y

    更新日期:2017-01-01 00:00:00

  • Bony ankylosis of the facet joint of the cervical spine in rheumatoid arthritis: Its characteristics and relationship to the clinical findings.

    abstract:OBJECTIVES:The purpose of this study was to clarify the characteristics of bony ankylosis of the facet joint of the cervical spine in rheumatoid arthritis (RA) patients who required cervical spine surgery, and its relationship to the clinical findings. METHODS:Eighty consecutive RA patients with cervical spine disorde...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1265638

    authors: Iizuka H,Iizuka Y,Okamura K,Yonemoto Y,Mieda T,Takagishi K

    更新日期:2017-09-01 00:00:00

  • A case of eosinophilic orbital myositis associated with CSS.

    abstract::We report a novel case of eosinophilic orbital myositis associated with Churg-Strauss syndrome. A 56-year-old man with a 20-year history of chronic sinusitis and seasonal allergic rhinitis was admitted because of fever, swelling of cheeks and extremities, diplopia, and eosinophilia. With findings from gadolinium-enhan...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-009-0252-3

    authors: Fujii T,Norizuki M,Kobayashi T,Yamamoto M,Kishimoto M

    更新日期:2010-04-01 00:00:00

  • Involvement of valgus hindfoot deformity in hallux valgus deformity in rheumatoid arthritis.

    abstract::The involvement of valgus hindfoot deformity in hallux valgus deformity was confirmed in a rheumatoid arthritis case with a destructive valgus hindfoot deformity. Correction of severe valgus, calcaneal lateral offset, and pronated foot deformity instantly normalized hallux valgus deformities postoperatively. Thus, car...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.874738

    authors: Yamada S,Hirao M,Tsuboi H,Akita S,Matsushita M,Ohshima S,Saeki Y,Hashimoto J

    更新日期:2014-09-01 00:00:00

  • Improvement of disease activity of rheumatoid arthritis patients from 2000 to 2006 in a large observational cohort study IORRA in Japan.

    abstract::The objective of this study was to show whether the disease activity of rheumatoid arthritis (RA) patients had improved in Japan, and whether the improvement of disease activity had resulted in a better outcome of patients. In a single-institute-based prospective observational cohort of RA patients (Institute of Rheum...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-007-0587-6

    authors: Yamanaka H,Inoue E,Singh G,Tanaka E,Nakajima A,Taniguchi A,Hara M,Tomatsu T,Kamatani N

    更新日期:2007-01-01 00:00:00

  • IgG4-related kidney disease and retroperitoneal fibrosis: An update.

    abstract::The most representative kidney lesion of IgG4-related disease (IgG4-RD) is plasma cell-rich tubulointerstitial nephritis (TIN) with distinctive imaging findings including multiple low-density lesions on contrast-enhanced computed tomography. In addition, membranous glomerulonephritis is a representative glomerular les...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,评审

    doi:10.1080/14397595.2018.1554321

    authors: Kawano M,Saeki T,Nakashima H

    更新日期:2019-03-01 00:00:00

  • Reduced bone mineral density in Japanese premenopausal women with systemic lupus erythematosus treated with glucocorticoids.

    abstract::Abstract We evaluated bone mineral density (BMD) in Japanese female patients with systemic lupus erythematosus (SLE) and assessed the influence of the use of glucocorticoids. Lumbar BMD was measured by dual x-ray absorptiometry (DXA) in 60 premenopausal females who previously had been receiving glucocorticoid therapy....

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650200057

    authors: Banno S,Matsumoto Y,Naniwa T,Hayami Y,Sugiura Y,Yoshinouchi T,Ueda R

    更新日期:2002-12-01 00:00:00

  • Synovial inflammation analyzed by 3-T magnetic resonance imaging in etanercept-treated patients with rheumatoid arthritis indicates persistent disease activity despite of clinical remission: A pilot study.

    abstract:OBJECTIVES:To evaluate joint inflammation using 3-T MRI in rheumatoid arthritis (RA) patients treated with conventional disease modifying anti-rheumatic drugs (cDMARDs) as compared to inhibitors for tumor necrosis factor α (TNFi) over 12 months. METHODS:Prospective epidemiologic clinical pilot study using the RA MRI s...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2018.1467525

    authors: Oleszowsky M,Willinek W,Marinova M,Seidel MF

    更新日期:2019-05-01 00:00:00

  • Plasma acrolein level in rheumatoid arthritis increases independently of the disease characteristics.

    abstract::Objective: This study aimed to clarify whether plasma acrolein level actually increases in rheumatoid arthritis (RA) patients, and to elucidate whether any relationship exists between the levels and the RA background variables.Methods: Plasma levels of protein-conjugated acrolein (PC-Acro) in 84 patients (RA group) an...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1775921

    authors: Kawabata C,Nagasawa T,Ono M,Tarumoto N,Katoh N,Hotta Y,Kawano H,Igarashi K,Shiokawa K,Nishimura K

    更新日期:2020-06-16 00:00:00

  • Successful treatment of macrophage activation syndrome in a patient with dermatomyositis by combination with immunosuppressive therapy and plasmapheresis.

    abstract::Macrophage activation syndrome (MAS), also known as secondary hemophagocytic lymphohistiocytosis, is mediated by cytokine overproduction from excessive activation of T lymphocytes and macrophages. We present a dermatomyositis patient with MAS, caused by hypercytokinemia. The combination of tacrolimus and plasma exchan...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.844402

    authors: Kaieda S,Yoshida N,Yamashita F,Okamoto M,Ida H,Hoshino T,Fukuda T

    更新日期:2015-01-01 00:00:00

  • Prevention of joint destruction by tacrolimus in patients with early rheumatoid arthritis: a post hoc analysis of a double-blind, randomized, placebo-controlled study.

    abstract:OBJECTIVES:A multicenter, randomized, double-blind, placebo-controlled study of the oral calcineurin inhibitor tacrolimus was performed in patients with early rheumatoid arthritis who had responded poorly to disease-modifying antirheumatic drugs (DMARDs), and factors related to suppression of joint destruction were inv...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10165-012-0817-4

    authors: Tanaka Y,Kawai S,Takeuchi T,Yamamoto K,Miyasaka N

    更新日期:2013-11-01 00:00:00

  • Clinical response among golimumab-treated Japanese patients with rheumatoid arthritis by number of previous biologic therapies: Real-world evidence from post-hoc analysis of post-marketing surveillance data.

    abstract:OBJECTIVES:To assess the real-world effectiveness of golimumab in Japanese patients with rheumatoid arthritis who had previously received one or more biologic therapies. METHODS:A post-hoc analysis of post-marketing surveillance was performed. The clinical response to golimumab was analyzed in 1216 patients who had pr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1797283

    authors: Shimizu H,Kobayashi H,Kanbori M,Ishii Y

    更新日期:2020-08-19 00:00:00

  • Analysis of autoantibodies to cell cycle-associated antigens.

    abstract::Abstract To determine the specificities of autoantibodies targeting cell cycle-associated antigens in rheumatic diseases, we studied 30 sera which were obtained from patients visiting our hospital and which exhibited a variegated speckled pattern in indirect immunofluorescence (IF). The immunoreactivities of the sera ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650170008

    authors: Fujinaga H,Takeuchi K,Kaneda K,Takasaki Y,Hashimoto H

    更新日期:2001-09-01 00:00:00

  • Ten years results of bucillamine in the treatment of rheumatoid arthritis.

    abstract::A 10-year cohort study was performed, involving all of the 118 patients treated with bucillamine in our hospital between 1988 and 1990. Evaluation was made on the basis of erythrocyte sedimentation rate, grip strength, joint score, duration of morning stiffness, and Lansbury index consisting of the above four paramete...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0533-z

    authors: Yokota N,Kuga Y,Kanazawa T,Morishita M,Tanida K,Itou K

    更新日期:2007-01-01 00:00:00

  • An immunoglobulin G4-related disease mimicking postoperative lung cancer recurrence.

    abstract::A postoperative lung cancer patient presented with lymphadenopathy, pleural thickening, and 18F-fluorodeoxyglucose (FDG) uptake on a positron emission tomography-computed tomography (PET-CT) scan. Lung cancer recurrence was initially suspected, but bilateral submandibular masses with 18F-FDG uptake indicated the possi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-011-0580-y

    authors: Nakazawa S,Shimizu K,Nakano T,Kakegawa S,Atsumi J,Kamiyoshihara M,Hirato J,Takeyoshi I

    更新日期:2012-09-01 00:00:00

  • The clinical characteristics of juvenile-onset systemic sclerosis in Japanese patients.

    abstract:: ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-013-0884-1

    authors: Hatta Y,Hasegawa M,Matsushita T,Hamaguchi Y,Fujimoto M,Takehara K

    更新日期:2013-04-27 00:00:00

  • The add-on effectiveness and safety of iguratimod in patients with rheumatoid arthritis who showed an inadequate response to tocilizumab.

    abstract::Objectives: To evaluate the effectiveness of add-on iguratimod (IGU) in patients with rheumatoid arthritis (RA) who showed an inadequate response to tocilizumab (TCZ), especially patients who were intolerant of an effective dose of methotrexate (MTX). Methods: Thirty-one patients with RA (22 women, age 62.4 years, dis...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.1080/14397595.2018.1486939

    authors: Ebina K,Miyama A,Tsuboi H,Kaneshiro S,Nishikawa M,Owaki H,Tsuji S,Hirao M,Etani Y,Goshima A,Hashimoto J,Yoshikawa H

    更新日期:2019-07-01 00:00:00

  • Morphological changes in the lower limbs with the progression of knee osteoarthritis over 6 years in a Toei cohort.

    abstract:OBJECTIVES:We investigated the relationship between morphological features in the lower limbs and the progression of knee osteoarthritis (OA) in 6-years. METHODS:Volunteer subjects from Toei (101 women and 54 men). Knee OA was evaluated on whole-leg radiographs. Subjects were divided into group 1, no knee OA; group 2,...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1804668

    authors: Tran DH,Hoshino H,Matsuyama Y

    更新日期:2020-09-03 00:00:00