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The use of plasma exchange in Hashimoto's encephalopathy: A case report and review of the literature.
J Clin Apher. 2015 Jun; 30(3):188-92.JC

Abstract

Hashimoto's Encephalopathy (HE) is a very rare condition characterized by psychosis, seizures, cognitive fluctuations, and myoclonus. In a few published cases, plasma exchange has been used due to the theoretical removal of antithyroid peroxidase antibodies (anti-TPO), one of the postulated causes of the condition. We report a case of HE treated by plasma exchange where no clinical or neurophysiologic improvement was observed despite documented reduction of the anti-TPO antibody to levels below the limits of laboratory detection. We discuss these findings in the context of the known literature for this disease process.

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Authors+Show Affiliations

Cook MK
Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Malkin M
Department of Neurology, Virginia Commonwealth University, Richmond, Virginia.
Karafin MS
Medical Sciences Institute, BloodCenter of Wisconsin, Milwaukee, Wisconsin. Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin.

MeSH

AutoantibodiesBlood Component RemovalCognition DisordersEncephalitisFemaleHashimoto DiseaseHumansImmunoglobulins, IntravenousIodide PeroxidaseMiddle AgedParanoid DisordersPlasma ExchangePlasmapheresisStatus EpilepticusSteroids

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

25116126

Citation

Cook, Melissa K., et al. "The Use of Plasma Exchange in Hashimoto's Encephalopathy: a Case Report and Review of the Literature." Journal of Clinical Apheresis, vol. 30, no. 3, 2015, pp. 188-92.
Cook MK, Malkin M, Karafin MS. The use of plasma exchange in Hashimoto's encephalopathy: A case report and review of the literature. J Clin Apher. 2015;30(3):188-92.
Cook, M. K., Malkin, M., & Karafin, M. S. (2015). The use of plasma exchange in Hashimoto's encephalopathy: A case report and review of the literature. Journal of Clinical Apheresis, 30(3), 188-92. https://doi.org/10.1002/jca.21353
Cook MK, Malkin M, Karafin MS. The Use of Plasma Exchange in Hashimoto's Encephalopathy: a Case Report and Review of the Literature. J Clin Apher. 2015;30(3):188-92. PubMed PMID: 25116126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of plasma exchange in Hashimoto's encephalopathy: A case report and review of the literature. AU - Cook,Melissa K, AU - Malkin,Mark, AU - Karafin,Matthew S, Y1 - 2014/08/12/ PY - 2014/02/10/received PY - 2014/07/28/revised PY - 2014/07/30/accepted PY - 2014/8/14/entrez PY - 2014/8/15/pubmed PY - 2016/4/5/medline KW - Hashimoto's encephalopathy KW - pheresis indications KW - plasma exchange SP - 188 EP - 92 JF - Journal of clinical apheresis JO - J Clin Apher VL - 30 IS - 3 N2 - Hashimoto's Encephalopathy (HE) is a very rare condition characterized by psychosis, seizures, cognitive fluctuations, and myoclonus. In a few published cases, plasma exchange has been used due to the theoretical removal of antithyroid peroxidase antibodies (anti-TPO), one of the postulated causes of the condition. We report a case of HE treated by plasma exchange where no clinical or neurophysiologic improvement was observed despite documented reduction of the anti-TPO antibody to levels below the limits of laboratory detection. We discuss these findings in the context of the known literature for this disease process. SN - 1098-1101 UR - https://www.unboundmedicine.com/medline/citation/25116126/The_use_of_plasma_exchange_in_Hashimoto's_encephalopathy:_A_case_report_and_review_of_the_literature_ L2 - https://doi.org/10.1002/jca.21353 DB - PRIME DP - Unbound Medicine ER -