title: Asymptomatic rheumatoid meningitis revealed by magnetic resonance imaging, followed by systemic rheumatic vasculitis: A case report and a review of the literature.
abstract: We report the case of a 66-year-old man with seropositive rheumatoid arthritis who developed neurologically asymptomatic rheumatoid meningitis (RM) revealed by MRI. RM worsened and chest CT showed pericardial effusion, pleural effusion, and bilateral consolidation, and his serum C3 level was decreased. We diagnosed systemic rheumatic vasculitis based on these findings. After a review of more than 20 previously reported cases of RM, this is the first case of RM without central nerve system symptoms.
authors.affiliation: a Department of Internal Medicine (I) , Osaka Medical College , Takatsuki City , Osaka , Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Matsuda
authors.affiliation: a Department of Internal Medicine (I) , Osaka Medical College , Takatsuki City , Osaka , Japan.
authors.forename: Shuzo
authors.initials: S
authors.lastname: Yoshida
authors.affiliation: a Department of Internal Medicine (I) , Osaka Medical College , Takatsuki City , Osaka , Japan.
authors.forename: Tohru
authors.initials: T
authors.lastname: Takeuchi
authors.affiliation: a Department of Internal Medicine (I) , Osaka Medical College , Takatsuki City , Osaka , Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Fujiki
authors.affiliation: a Department of Internal Medicine (I) , Osaka Medical College , Takatsuki City , Osaka , Japan.
authors.forename: Ayaka
authors.initials: A
authors.lastname: Yoshikawa
authors.affiliation: a Department of Internal Medicine (I) , Osaka Medical College , Takatsuki City , Osaka , Japan.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Makino
mesh_terms: D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D058070:Asymptomatic Diseases; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008581:Meningitis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D056647:Systemic Vasculitis / Q000175:diagnosis / Q000209:etiology
keywords: Central nervous system; Extra-articular manifestations; Malignant rheumatoid arthritis; Rheumatoid arthritis; Rheumatoid vasculitis