XXXX responsive chronic @entity5422 reminiscent of @entity693 : a case report.

@entity1 @entity1851 @entity1333 @entity5 @entity73 @entity5422 @entity16 @entity693 @entity479 @entity10 @entity221 @entity309 @entity4795
UNASSIGNED: A 62-year-old @entity1 presented at our hospital with a @entity10 , @entity73 , and @entity221 that had persisted for 3 months. On admission, @entity221 , @entity10 , and mild @entity73 were all clearly evident, suggesting chronic @entity5422 . Laboratory examination showed mild @entity4795 as well as an increase in her erythrocyte sedimentation rate and serum @entity1851 levels. MRI showed multiple small hyperintense lesions on T2 weighted image and diffusion weighted image (DWI) in the cerebral cortex and white matter. Contrast-enhanced T1 weighted image showed the abnormal pial enhancement along the cerebral sulci. Systemic evaluations for infectious organisms, autoantibodies, and @entity5 were all negative. Her @entity221 and @entity16 continued. As a result of worsening MRI findings, a brain biopsy was carried out. Neuropathological analysis revealed neutrophilic infiltration in the subarachnoid space and multinucleated giant cells. However, there was no @entity1333 on the histological sections. This pathological finding was reminiscent of @entity693 despite articular findings of @entity309 , as well as rheumatoid factor (RF) and anti-CCP antibody tests being negative. After oral @entity479 therapy, her @entity221 and inflammatory reactions by laboratory test diminished and her cognitive function improved remarkably.
