MacKay Scott, Salh Baljinder
Division of General Internal Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Division of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
ACG Case Rep J. 2024 May 9;11(5):e01360. doi: 10.14309/crj.0000000000001360. eCollection 2024 May.
A 46-year-old woman with fistulizing Crohn's disease in clinical remission in the setting of long-term adalimumab therapy presented to hospital and was ultimately diagnosed with anti--methyl-D (NMDA) receptor antibody-mediated autoimmune encephalitis (NMDAr-AE). Inflammatory central nervous system and antibody-mediated adverse effects have been found to be associated with anti-tumor necrosis factor agents, with 5 previous case reports noting cases of NMDAr-AE in patients on these medications. The current article reports this case, which is unique for the length of adalimumab therapy before this presentation, as well as a summary of literature regarding anti-tumor necrosis factors and NMDAr-AE.
一名46岁患有瘘管性克罗恩病的女性,在长期使用阿达木单抗治疗处于临床缓解期时入院,最终被诊断为抗N-甲基-D-天冬氨酸(NMDA)受体抗体介导的自身免疫性脑炎(NMDAr-AE)。已发现炎症性中枢神经系统和抗体介导的不良反应与抗肿瘤坏死因子药物有关,之前有5例病例报告指出使用这些药物的患者出现NMDAr-AE。本文报告了该病例,其因在此次发病前使用阿达木单抗治疗的时间之长而独特,同时还总结了关于抗肿瘤坏死因子与NMDAr-AE的文献。