title: Rheumatoid pachymeningitis.
abstract: Symptomatic rheumatoid pachymeningitis is a rare extra-articular manifestation of rheumatoid arthritis. Clinical symptoms are non-specific and diagnosis is frequently made by exclusion. We present a 61-year-old woman with a 9-year history of rheumatoid arthritis presenting with deafness and progressive disability over a two month duration. She was diagnosed as having rheumatoid pachymeningitis based on the cerebral magnetic resonance imaging findings.
authors.affiliation: Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia. tanhuijan@hotmail.com
authors.forename: H J
authors.initials: HJ
authors.lastname: Tan
authors.forename: A A
authors.initials: AA
authors.lastname: Raymond
authors.forename: P P
authors.initials: PP
authors.lastname: Phadke
authors.forename: Z
authors.initials: Z
authors.lastname: Rozman
mesh_terms: D001172:Arthritis, Rheumatoid / Q000150:complications*; D007758:Ear, Inner / Q000473:pathology; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008581:Meningitis / Q000175:diagnosis* / Q000209:etiology*; D008875:Middle Aged