case of autoimmune GFAP astrocytopathy with eosinophils in the cerebrospinal fluid
Cerebrospinal fluid (CSF) eosinophilia is associated with a narrow differential, primarily including parasitic and fungal infections, neoplasm, and chemical meningitis. It has rarely been reported in neuroinflammatory conditions including as a finding of CSF cytology in two autoimmune glial fibrilla...
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Veröffentlicht in: | Journal of neuroimmunology 2023-12, Vol.385, p.578249-578249, Article 578249 |
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creator | Lowe, Mallory C. Money, Kelli M. Matthews, Elizabeth Pastula, Daniel M. Piquet, Amanda L. |
description | Cerebrospinal fluid (CSF) eosinophilia is associated with a narrow differential, primarily including parasitic and fungal infections, neoplasm, and chemical meningitis. It has rarely been reported in neuroinflammatory conditions including as a finding of CSF cytology in two autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy cases. Here we describe a case of autoimmune GFAP astrocytopathy with classic clinical and radiographic features as well as presence of eosinophils in the CSF. This case highlights a potential association of eosinophils in the CSF with autoimmune GFAP astrocytopathy, which may suggest its inclusion in the differential diagnosis of eosinophilic meningitis, encephalitis, or myelitis. |
doi_str_mv | 10.1016/j.jneuroim.2023.578249 |
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It has rarely been reported in neuroinflammatory conditions including as a finding of CSF cytology in two autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy cases. Here we describe a case of autoimmune GFAP astrocytopathy with classic clinical and radiographic features as well as presence of eosinophils in the CSF. This case highlights a potential association of eosinophils in the CSF with autoimmune GFAP astrocytopathy, which may suggest its inclusion in the differential diagnosis of eosinophilic meningitis, encephalitis, or myelitis.</description><identifier>ISSN: 0165-5728</identifier><identifier>EISSN: 1872-8421</identifier><identifier>DOI: 10.1016/j.jneuroim.2023.578249</identifier><identifier>PMID: 37992587</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Astrocytes - metabolism ; Autoantibodies ; Autoimmune Diseases of the Nervous System ; Autoimmune encephalitis ; Encephalitis - cerebrospinal fluid ; Eosinophils ; Glial Fibrillary Acidic Protein ; Glial fibrillary acidic protein astrocytopathy ; Humans ; Meningitis ; Meningitis - diagnostic imaging</subject><ispartof>Journal of neuroimmunology, 2023-12, Vol.385, p.578249-578249, Article 578249</ispartof><rights>2023</rights><rights>Copyright © 2023. 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This case highlights a potential association of eosinophils in the CSF with autoimmune GFAP astrocytopathy, which may suggest its inclusion in the differential diagnosis of eosinophilic meningitis, encephalitis, or myelitis.</description><subject>Astrocytes - metabolism</subject><subject>Autoantibodies</subject><subject>Autoimmune Diseases of the Nervous System</subject><subject>Autoimmune encephalitis</subject><subject>Encephalitis - cerebrospinal fluid</subject><subject>Eosinophils</subject><subject>Glial Fibrillary Acidic Protein</subject><subject>Glial fibrillary acidic protein astrocytopathy</subject><subject>Humans</subject><subject>Meningitis</subject><subject>Meningitis - diagnostic imaging</subject><issn>0165-5728</issn><issn>1872-8421</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EgvL4BeQlmxS_Uts7KkQLEhIIdW-5zkR1lcTBdkD9e1KVsmU1izl3HgehW0qmlNDZ_Xa67WCIwbdTRhifllIxoU_QhCrJCiUYPUWTESyLUjJ1gS5T2hJCSy70ObrgUmtWKjlBH84mwKHGdsjjsHboAC8X83dsU47B7XLobd7s8LfPGwwh-S70G98k7DucN4AdRFjHkHrf2QbXzeCra3RW2ybBzW-9QqvF0-rxuXh9W748zl8Lx2mZC15pKZioQUNNXOnkTFdjQ5WcgBaCM-K4JWoNSjmupJOVkgCc0xnUUgp-he4OY_sYPgdI2bQ-OWga20EYkmFKMy2UYnxEZwfUjZemCLXpo29t3BlKzF6n2ZqjTrPXaQ46x-Dt745h3UL1Fzv6G4GHAwDjo18eoknOQ-eg8hFcNlXw_-34ATbOimU</recordid><startdate>20231215</startdate><enddate>20231215</enddate><creator>Lowe, Mallory C.</creator><creator>Money, Kelli M.</creator><creator>Matthews, Elizabeth</creator><creator>Pastula, Daniel M.</creator><creator>Piquet, Amanda L.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20231215</creationdate><title>case of autoimmune GFAP astrocytopathy with eosinophils in the cerebrospinal fluid</title><author>Lowe, Mallory C. ; Money, Kelli M. ; Matthews, Elizabeth ; Pastula, Daniel M. ; Piquet, Amanda L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-3d97424fe9ef0c5c769d3158530e944320c3a08be88c387c7d87ee3316ef7743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Astrocytes - metabolism</topic><topic>Autoantibodies</topic><topic>Autoimmune Diseases of the Nervous System</topic><topic>Autoimmune encephalitis</topic><topic>Encephalitis - cerebrospinal fluid</topic><topic>Eosinophils</topic><topic>Glial Fibrillary Acidic Protein</topic><topic>Glial fibrillary acidic protein astrocytopathy</topic><topic>Humans</topic><topic>Meningitis</topic><topic>Meningitis - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lowe, Mallory C.</creatorcontrib><creatorcontrib>Money, Kelli M.</creatorcontrib><creatorcontrib>Matthews, Elizabeth</creatorcontrib><creatorcontrib>Pastula, Daniel M.</creatorcontrib><creatorcontrib>Piquet, Amanda L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroimmunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lowe, Mallory C.</au><au>Money, Kelli M.</au><au>Matthews, Elizabeth</au><au>Pastula, Daniel M.</au><au>Piquet, Amanda L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>case of autoimmune GFAP astrocytopathy with eosinophils in the cerebrospinal fluid</atitle><jtitle>Journal of neuroimmunology</jtitle><addtitle>J Neuroimmunol</addtitle><date>2023-12-15</date><risdate>2023</risdate><volume>385</volume><spage>578249</spage><epage>578249</epage><pages>578249-578249</pages><artnum>578249</artnum><issn>0165-5728</issn><eissn>1872-8421</eissn><abstract>Cerebrospinal fluid (CSF) eosinophilia is associated with a narrow differential, primarily including parasitic and fungal infections, neoplasm, and chemical meningitis. 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subjects | Astrocytes - metabolism Autoantibodies Autoimmune Diseases of the Nervous System Autoimmune encephalitis Encephalitis - cerebrospinal fluid Eosinophils Glial Fibrillary Acidic Protein Glial fibrillary acidic protein astrocytopathy Humans Meningitis Meningitis - diagnostic imaging |
title | case of autoimmune GFAP astrocytopathy with eosinophils in the cerebrospinal fluid |
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