Neurological involvement of relapsing polychondritis in Japan: An epidemiological study

DOI 被引用文献4件 参考文献5件 オープンアクセス
  • Suzuki Noboru
    Departments and Institutions: Institute of Medical Science and Department of Immunology and Medicine, St. Marianna University School of Medicine, Kawasaki, Japan
  • Shimizu Jun
    Departments and Institutions: Institute of Medical Science and Department of Immunology and Medicine, St. Marianna University School of Medicine, Kawasaki, Japan
  • Oka Hiroshi
    Departments and Institutions: Institute of Medical Science and Department of Immunology and Medicine, St. Marianna University School of Medicine, Kawasaki, Japan
  • Yamano Yoshihisa
    Departments and Institutions: Institute of Medical Science and Department of Immunology and Medicine, St. Marianna University School of Medicine, Kawasaki, Japan
  • Yudoh Kazuo
    Departments and Institutions: Institute of Medical Science and Department of Immunology and Medicine, St. Marianna University School of Medicine, Kawasaki, Japan

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We conducted a large scale epidemiological study in Japan and revealed a high mortality rate in RP patients with neurological involvement. Japanese RP patients developed encephalitis/meningitis (12 out of 239 cases, 5.0%), cerebral infarct/bleeding (5 cases, 2.1%) and cerebral vasculitis (4 cases, 1.7%). The mortality rate was 18%, in contrast to 8.1% of RP patients without neurological involvement. We suggested that neurological involvement appeared to be a major determinant of disease severity in patients with RP.

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