Article ; Online: Tenascin-R Autoimmunity: Isolated Tremor Reversed with Immunotherapy.
2023 Volume 94, Issue 3, Page(s) 502–507
Abstract: Autoimmune movement disorders are increasingly recognized, but isolated tremor is extremely rare. We describe a 70-year-old male with rapidly progressive, severe postural and intention tremor and weight loss. His cerebrospinal fluid was inflammatory and ... ...
Abstract | Autoimmune movement disorders are increasingly recognized, but isolated tremor is extremely rare. We describe a 70-year-old male with rapidly progressive, severe postural and intention tremor and weight loss. His cerebrospinal fluid was inflammatory and harbored a neural tissue-restricted antibody. The autoantigen was identified by immunoprecipitation and mass spectrometry and confirmed by antigen-specific assays to be specific for tenascin-R. He was investigated for cancer and diagnosed with follicular lymphoma that expressed tenascin-R suggesting a paraneoplastic origin; cancer treatment and immunotherapy led to complete recovery. With this individualized patient approach and antibody discovery, we expand the spectrum of antibodies accompanying autoimmune hyperkinetic movement disorders. ANN NEUROL 2023;94:502-507. |
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MeSH term(s) | Male ; Humans ; Aged ; Tremor ; Autoimmunity ; Autoimmune Diseases ; Autoantibodies ; Immunotherapy |
Chemical Substances | tenascin R (147604-77-1) ; Autoantibodies |
Language | English |
Publishing date | 2023-07-14 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Research Support, N.I.H., Extramural |
ZDB-ID | 80362-5 |
ISSN | 1531-8249 ; 0364-5134 |
ISSN (online) | 1531-8249 |
ISSN | 0364-5134 |
DOI | 10.1002/ana.26730 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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