Multifocal relapsing-remitting myelitis in a patient with atopic dermatitis: multiple sclerosis or atopic myelitis?
We describe a patient with multifocal relapsing-remitting myelitis. This case had abnormal high intensity lesions in the spinal cord at the cervical and thoracic levels on magnetic resonance imaging (MRI). She had complicated atopic dermatitis and high serum IgE levels, which showed strong sensitivity to mite antigen. These features closely resemble those of atopic myelitis, suggesting that atopic myelitis may develop a relapse with multifocal involvement of the spinal cord, which can mimic multiple sclerosis.
Third Department of Internal Medicine, Kagoshima University School of Medicine, Sakuragaoka.
Kayoko
K
Itoh
Fujio
F
Umehara
Mitsuhiro
M
Osame
D000328:Adult; D003876:Dermatitis, Atopic / Q000150:complications* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D008279:Magnetic Resonance Imaging; D009103:Multiple Sclerosis / Q000175:diagnosis / Q000209:etiology*; D009187:Myelitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000008:administration & dosage; D011859:Radiography; D012008:Recurrence; D013116:Spinal Cord / Q000000981:diagnostic imaging*; D016896:Treatment Outcome
D007073:Immunoglobulin E; D011239:Prednisolone