Cancer-Associated Retinopathy (CAR Syndrome) with Antibodies Reacting with Retinal, Optic-Nerve, and Cancer Cells

A VARIETY of neurologic disorders are associated with different forms of cancer. 1 2 3 4 5 6 7 Secondary neurologic effects that become manifest in the absence of metastasis are collectively called paraneoplastic phenomena, and they include the rapid loss of sight. 8 9 10 11 There have been several...

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Veröffentlicht in:The New England journal of medicine 1989-12, Vol.321 (23), p.1589-1594
Hauptverfasser: Thirkill, Charles E, FitzGerald, Paul, Sergott, Robert C, Roth, Alan M, Tyler, Nancy K, Keltner, John L
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Sprache:eng
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Zusammenfassung:A VARIETY of neurologic disorders are associated with different forms of cancer. 1 2 3 4 5 6 7 Secondary neurologic effects that become manifest in the absence of metastasis are collectively called paraneoplastic phenomena, and they include the rapid loss of sight. 8 9 10 11 There have been several published reports of central nervous system autoantibodies in patients with cancer, primarily small-cell carcinoma of the lung with associated neuropathies. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 We previously described 30 high titers of serum antibodies reactive with retinal components in patients with cancer who experienced a sudden, unexplained reduction in vision before the cancer was diagnosed. This study involved a patient with symptoms of cancer-associated retinopathy (the . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM198912073212307