Document Detail


Myelitis with atopic diathesis: a nationwide survey of 79 cases in Japan.
MedLine Citation:
PMID:  12686395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We recently reported the occurrence of myelitis in patients with atopic disorders and its pathology to be eosinophilic inflammation. Because similar cases have been reported, we conducted a nationwide epidemiological survey (NES) of myelitis with atopy in Japan. We compared the clinicolaboratory features of the 30 NES cases with the 49 cases at Kyushu University Hospital (KU). Although the NES cases were distributed throughout Japan, the NES and KU cases shared common characteristics. We therefore combined all of the cases identified. The average onset age was 35.8+/-13.4 years, and the male/female ratio was 1:0.65. The onset mode was subacute/chronic in half the patients, and stepwise progression or symptom fluctuation was frequent (69.6%). The most common lesion site was determined clinically and by MRI to be the cervical cord, and paresthesia and/or dysesthesia were the most common symptoms initially (74.7%) and throughout the entire course (83.5%). Cerebrospinal fluid (CSF) abnormalities were infrequent and mild. These findings suggest that myelitis associated with atopy has mild but prolonged symptoms and occurs throughout Japan.
Authors:
Manabu Osoegawa; Hirofumi Ochi; Motozumi Minohara; Hiroyuki Murai; Fujio Umehara; Hirokazu Furuya; Takeshi Yamada; Jun-ichi Kira
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  209     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-04-10     Completed Date:  2003-06-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  5-11     Citation Subset:  IM    
Affiliation:
Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, 812-8582, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Age of Onset
Aged
Child
Comorbidity
Cross-Sectional Studies
Disease Progression
Disease Susceptibility / epidemiology*
Female
Humans
Hypersensitivity, Immediate / diagnosis,  epidemiology*,  metabolism
Immunoglobulin E / blood,  cerebrospinal fluid
Japan / epidemiology
Magnetic Resonance Imaging / statistics & numerical data
Male
Middle Aged
Myelitis / diagnosis,  epidemiology*,  metabolism
Sex Distribution
Spinal Cord / pathology
Chemical
Reg. No./Substance:
37341-29-0/Immunoglobulin E

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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