Spinal cord granulomatous vasculitis: An unusual clinical presentation of sarcoidosis

被引:0
作者
Diri, E
Espinoza, CG
Espinoza, LR
机构
[1] Louisiana State Univ, Med Ctr, Dept Med, Rheumatol Sect, New Orleans, LA 70112 USA
[2] Louisiana State Univ, Med Ctr, Dept Pathol, New Orleans, LA 70112 USA
关键词
sarcoidosis; granulomatous vasculitis; spinal cord involvement; methotrexate;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 52-year-old Caucasian man presented with isolated manifestations of myelopathy. Cervical magnetic resonance imaging showed a focus of increased signal intensity at the posterolateral left half of C5 and C6. Biopsy of spinal cord revealed the presence of active vasculitis associated with non-caseating granulomas. The patient responded to the combination of methotrexate (MTX) and corticosteroid treatment. Low-dose MTX was an effective, steroid-sparing regimen. This is a rare condition of isolated spinal cord involvement associated with sarcoid vasculitis.
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页码:1408 / 1410
页数:3
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