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Paraneoplastic Syndromes

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Electrolyte and acid-base disorders in cancer patients and its impact on clinical outcomes: evidence from a real-world study in China.

Yang Li, Xiaohong Chen, Ziyan Shen, Yimei Wang, Jiachang Hu, Jiarui Xu, Bo Shen, Xiaoqiang Ding,

Background: This study aims to delineate the incidence of electrolyte and acid-base disorders (EAD) in cancer patients, to figure out the risk factors of EAD, then to assess the impact of EAD on patients' in-hospital clinical outcomes.Methods: Patients with the diagnosis of malignancies hospitalized during 1 October 2014 and 30 ... Read more >>

Ren Fail (Renal Failure)
[2020, 42(1):234-243]

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Autoimmune Pituitary Disease: New Concepts With Clinical Implications.

Masaaki Yamamoto, Genzo Iguchi, Hironori Bando, Keitaro Kanie, Ryoko Hidaka-Takeno, Hidenori Fukuoka, Yutaka Takahashi,

Some endocrine disorders, including hypophysitis and isolated adrenocorticotropic hormone (ACTH) deficiency, are caused by an autoimmune response to endocrine organs. Although the pathogenesis of some autoimmune endocrine diseases has been elucidated, it remains obscure for most. Anti-PIT-1 hypophysitis (anti-PIT-1 antibody syndrome) is a newly described pituitary autoimmune disease characterized by ... Read more >>

Endocr. Rev. (Endocrine reviews)
[2020, 41(2):]

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Paraneoplastic cerebellar degeneration: initial presentation of mucosa-associated lymphoid tissue lymphoma in a patient with primary Sjögren syndrome.

Xia Cao, Cai-Gang Xu,

Chin. Med. J. (Chinese medical journal)
[2020, :]

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Paraneoplastic tumefactive demyelination in a 47-year-old man with underlying seminoma.

Anne-Sophie Van Haver, Frederik Debruyne, Katrien Sanders, Annick Verstappen,

BACKGROUND:Tumefactive demyelination presents as an aggressive, fast progressive focal demyelinating lesion in the central nervous system, with often devastating clinical outcome if not acutely treated. Correct and early treatment is threatened by its real diagnostic challenge. CASE REPORT:We describe a 47-year-old man with tumefactive demyelination and testicular seminoma. He presented ... Read more >>

Mult Scler Relat Disord (Multiple sclerosis and related disorders)
[2020, 42:102060]

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Into a Shaking Limbo: Case Report of a Nonneoplastic Limbic Encephalitis with Faciobrachial Dystonic Seizures and Parkinsonism.

Vijay Renga,

This case report describes a rare but classic presentation of a non-paraneoplastic, antibody-mediated limbic encephalitis. The clinical course did put us in a limbo as it evolved from seizure to Parkinsonism and then from metastasis to stroke, before it finally announced itself by its pathognomonic finding. Knowledge of this rare ... Read more >>

(Case Reports in Neurological Medicine)
[2020, 2020:]

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Paraneoplastic Diseases of the Central Nervous System.

Jonathan Galli, John Greenlee,

Paraneoplastic neurological syndromes are nonmetastatic complications of malignancy secondary to immune-mediated neuronal dysfunction or death. Pathogenesis may occur from cell surface binding of antineuronal antibodies leading to dysfunction of the target protein, or from antibodies binding against intracellular antigens which ultimately leads to cell death. There are several classical neurological ... Read more >>

F1000Res (F1000Research)
[2020, 9:]

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Pazopanib-induced posterior reversible encephalopathy syndrome with possible syndrome of inappropriate secretion of antidiuretic hormone: an incidental or pathophysiological association?

Jonathan Wong So, Bérenger Largeau, Frédérique Beau-Salinas, Stephan Ehrmann, Christophe Magni, Jérôme Meunier,

Neural Regen Res (Neural regeneration research)
[2020, 15(6):1166-1168]

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Clinical spectrum and diagnostic pitfalls of neurologic syndromes with Ri antibodies.

Claire Simard, Alberto Vogrig, Bastien Joubert, Sergio Muñiz-Castrillo, Géraldine Picard, Véronique Rogemond, François Ducray, Giulia Berzero, Dimitri Psimaras, Jean-Christophe Antoine, Virginie Desestret, Jérôme Honnorat,

OBJECTIVE:To describe the main syndrome and clinical course in a large cohort of patients with anti-Ri-associated paraneoplastic neurologic syndrome (Ri-PNS). METHODS:Twenty-year retrospective nationwide study and systematic review of the literature. RESULTS:Thirty-six patients with complete clinical information were identified (median age 66 years, range: 47-87 years). In this French cohort, the ... Read more >>

Neurol Neuroimmunol Neuroinflamm (Neurology(R) neuroimmunology & neuroinflammation)
[2020, 7(3):]

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Diagnosis of bilateral diffuse uveal melanocytic proliferation unveils primary gastric adenocarcinoma: a case report.

Mingyue Luo, Zhe Chen, Yaping Luo, Lin Zhao, Rongping Dai, Yong Zhong,

BACKGROUND:Bilateral diffuse uveal melanocytic proliferation (BDUMP) is an extremely rare paraneoplastic syndrome, with most cases reported as secondary to female urogenital and male lung malignancies. We reported this case of BDUMP patient whose primary malignancy was gastric adenocarcinoma verified with gastroscopy and subsequent pathological test. CASE PRESENTATION:A patient complaining blurred ... Read more >>

BMC Ophthalmol (BMC ophthalmology)
[2020, 20(1):113]

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[Ataxia - a group of heterogeneous diseases].

Martin Paucar, Niklas Dahl, Martin Engvall, Per Svenningsson, Göran Solders,

Ataxias constitute a group of heterogeneous diseases with overlapping symptoms. The clinical investigation should primarily seek for treatable conditions such as neurometabolic disorders and autoimmune diseases. Rapid progression is often characteristic for paraneoplastic cerebellar degeneration, autoimmune diseases or multiple system atrophy (MSA). The rapid development of massive parallel DNA sequencing ... Read more >>

Lakartidningen (Lakartidningen)
[2020, 117:]

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Limbic encephalitis with antibodies to N-methyl-D-aspartate (NMDA)-type glutamate receptor after allogeneic transplantation.

Jun Toda, Tetsuo Maeda, Keigo Akuta, Shinsuke Kusakabe, Tomoaki Ueda, Jiro Fujita, Hirohiko Shibayama, Kenji Oritani, Yukitoshi Takahashi, Yuzuru Kanakura,

Various central nervous system (CNS) complications may occur after allogeneic hematopoietic stem cell transplantation (allo-HSCT), which can result in severe clinical problems. Diagnosis is often difficult, as distinctive clinical symptoms may be absent and different neurological disorders may exhibit similar symptoms. Despite the fact that antibodies responding to brain cell ... Read more >>

Int. J. Hematol. (International journal of hematology)
[2020, :]

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An unusual case of remitting seronegative symmetrical synovitis with pitting edema: Case report and literature review.

Anne Dd Joseph, Thirunavukarasu Kumanan, Naarani Aravinthan, Navaneethakrishnan Suganthan,

Remitting seronegative symmetrical synovitis with pitting edema is a rare but well-recognized clinical entity that is easily overlooked due to lack of clinical vigilance. It is classically described as an acute onset of symmetrical tenosynovitis of both upper and lower extremities with pitting edema, mostly noted in elderly population. Young ... Read more >>

SAGE Open Med Case Rep (SAGE Open Medical Case Reports)
[2020, 8:2050313X20910920]

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A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis.

Rahul Mital, Moriah Forster, Abdurahman Alloghbi, Ammar Kayyali,

BACKGROUND Urine pregnancy tests are usually performed by women at home and also by healthcare professionals. However, there are several conditions that may cause a false-positive urine pregnancy test, including trophoblast tumors, malignancy, nephrotic syndrome, adenomyosis, tubo-ovarian abscess, and paraneoplastic syndromes. A case is presented of a false-positive urine pregnancy ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e920440]

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Paraneoplastic Encephalitis and Enteric Neuropathy Associated With Anti-Hu Antibody in a Patient Following Immune-checkpoint Inhibitor Therapy.

Kai Kang, Kai Zheng, Yanwen Zhang,

Paraneoplastic neurological syndromes (PNSs) are uncommon complications of immune-checkpoint inhibitor (ICI) therapy. This article reports a case of paraneoplastic encephalitis and enteric neuropathy associated with anti-Hu antibody in a patient with advanced small cell lung cancer. Symptoms presented in the third week after the second dose of sintilimab therapy and ... Read more >>

J. Immunother. (Journal of immunotherapy (Hagerstown, Md. : 1997))
[2020, :]

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CD19+ B-cells in autoantibody-negative limbic encephalitis.

Niels Hansen, Demet Önder, Kerstin Schwing, Guido Widman, Pitshaporn Leelaarporn, Indra Prusseit, Rainer Surges, Albert J Becker, Juri-Alexander Witt, Christoph Helmstaedter, Christian E Elger,

PURPOSE:Flow cytometry helps to elucidate the cellular immune repertoire's mechanisms in patients with temporal lobe epilepsy (TLE) due to limbic encephalitis (LE) subcategories and carries potential significance for subtype-specific treatment. METHODS:We enrolled 62 patients with TLE due to LE associated with no autoantibodies (n = 40), neural autoantibodies (n = 22), as well as ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 106:107016]

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Paraneoplastic Cerebellar Degeneration in Diffuse Large B-cell Lymphoma and Review of Associated Onconeural Antibodies.

Vasu Saini, Aditi Dhir, Ariana W Rudnick, Joshua Lukas, Karlo J Lizarraga, Jason Margolesky, Deborah O Heros, James E Hoffman,

Clin Lymphoma Myeloma Leuk (Clinical lymphoma, myeloma & leukemia)
[2020, :]

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Serum Systemic Autoantibodies in Anti-N-Methyl-D-Aspartate Receptor Encephalitis.

Bingjun Zhang, Yu Yang, Yinyao Lin, Lulu Ai, Xuejiao Men, Zhengqi Lu,

Objective: The aim of this retrospective study was to investigate the relationship between serum systemic autoantibodies and anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis. Methods: Thirty-nine patients with anti-NMDAR encephalitis were examined for serum systemic autoantibodies (antinuclear antibodies, extractable nuclear antigen autoantibodies, rheumatoid factors, and anti-neutrophil cytoplasmic antibodies), in comparison with 39 neuromyelitis ... Read more >>

Front Neurol (Frontiers in Neurology)
[2020, 11:117]

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Paraneoplastic syndrome in undifferentiated embryonic sarcoma of the liver.

Regine Mariette Perl, Almut Häring, Marius Stefan Horger, Christina Pfannenberg, Sergios Gatidis,

BACKGROUND:The undifferentiated embryonic sarcoma of the liver (UESL) is a rare, aggressive tumor mainly affecting children. Since UESL has no specific clinical symptoms or imaging characteristics, many cases of UESL are diagnosed late. The paraneoplastic leukemoid reaction (PLR) is a very rare concomitant of oncological patients associated with poor prognosis. ... Read more >>

EJNMMI Res (EJNMMI research)
[2020, 10(1):11]

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[Severe MDA5 dermatomyositis associated with cancer and controlled by JAK inhibitor].

C Jalles, A Deroux, M Tardieu, M Lugosi, S Viel, O Benveniste, B Colombe,

Dermatomyositis is an idiopathic inflammatory myopathy with various clinical and serological profiles, including poor prognosis forms for which aggressive immunosuppressive treatment is warranted. We report the case of a 60-year-old woman referred to our hospital for an anti-melanoma differentiation-associated 5 gene antibody-positive dermatomyositis (MDA5 DM) with rapidly progressive interstitial pneumonia, ... Read more >>

Rev Med Interne (La Revue de medecine interne)
[2020, :]

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Contribution of Immune-Mediated Paraneoplastic Syndromes to Neurological Manifestations of Neuroendocrine Tumours: Retrospective Study.

Jenny Tannoury, Louis de Mestier, Olivia Hentic, Philippe Ruszniewski, Alain Créange, Iradj Sobhani,

INTRODUCTION:Neurological symptoms associated with neuroendocrine tumours (NETs) may be related to metastatic disease or paraneoplastic syndromes (PNSs); these last are often associated with autoantibodies targeting various onconeural antigens. To better characterise neurological PNSs related to NETs, we report the largest case-series study to date. METHODS:We retrospectively reviewed the charts of ... Read more >>

Neuroendocrinology (Neuroendocrinology)
[2020, :]

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Dermatomyositis presenting as heart failure revealed a concealed cervical malignancy: an infrequent clinical nexus.

Ritwik Ghosh, Souvik Dubey, Subhankar Chatterjee, Rakesh Biswas,

Dermatomyositis (DM) belongs to the spectrum of inflammatory myopathies which are a heterogeneous group of acquired disorders in which dysregulated immune system is thought to play a major pathologic role. Patients with DM generally present with characteristic skin manifestations with or without muscle weakness and pain. Although subclinical myocardial involvement ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(2):]

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Efficacy of Tocilizumab in Limbic Encephalitis with Anti-CASPR2 Antibodies.

Maurizio Benucci, Luciana Tramacere, Maria Infantino, Mariangela Manfredi, Valentina Grossi, Arianna Damiani, Francesca Li Gobbi, Maristella Piccininni, Gaetano Zaccara, Massimo Cincotta,

We report the case of a 64-year-old man who presented with subacute memory, balance impairment, behavioral and mood changes, and epileptic seizures. Magnetic resonance imaging (MRI) showed bilateral hippocampal abnormalities. Brain [18F]-FDG fluorodeoxyglucose positron emission tomography (PET) revealed hypometabolism in both the temporal lobe as well as in the left ... Read more >>

Case Rep Neurol Med (Case reports in neurological medicine)
[2020, 2020:5697670]

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Renal hemangiopericytoma in 15 year old female-treated laparoscopically.

D Anakievski, K Kalchev,

Hemangiopericytoma (HPC) is rare in the urogenital system, most frequently occurs in the pelvis, head and neck, and meninges, it is extremely rare in the kidney. US, CT, or MRI do not show any specific sign of renal HPC that might aid in the differential diagnosis with other renal tumors, ... Read more >>

Urol Case Rep (Urology case reports)
[2020, 31:101132]

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Pilomotor Seizures in a Patient With LGI1 Encephalitis.

Jinxia Yang, Qiying Sun, Guang Yang,

Limbic encephalitis (LE) with antibodies against leucine-rich glioma inactivated protein 1 (LGI1) is an autoimmune disease with variable clinical features, including seizures, cognitive disorders, psychiatric disturbances, and hyponatremia. The majority of these patients present faciobrachial dystonic seizures (FBDS), which are regarded as a characteristic symptom. A few cases have reported ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:61]

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Paraneoplastic Diseases of the Central Nervous System

Jonathan Galli, John Greenlee,

Paraneoplastic neurological syndromes are nonmetastatic complications of malignancy secondary to immune-mediated neuronal dysfunction or death. Pathogenesis may occur from cell surface binding of antineuronal antibodies leading to dysfunction of the target protein, or from antibodies binding against intracellular antigens which ultimately leads to cell death. There are several classical neurological ... Read more >>

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