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Cutaneous Leukocytoclastic Vasculitis and Encephalitis Associated With Mycoplasma pneumoniae Infection
Carlos Perez, MD;
Marta Montes, MD
Arch Intern Med. 2002;162:352-354.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
Mycoplasma pneumoniae infection is generally
associated with respiratory symptoms. Abnormalities in almost every organ
system have been described as examples of extrapulmonary manifestations.1 However, skin vasculitis is very rare: we found reports
of only 2 cases of serologically confirmed M pneumoniae infection with cutaneous biopsy-proven vasculitis in the English-language
literature.2-3 On the other hand, M pneumoniae causes central nervous system complications
such as aseptic meningitis, meningoencephalitis, transverse myelitis, brainstem
dysfunction, and Guillain-Barré syndrome, as well as many other symptoms.1, 4 Three mechanisms for M pneumoniaeassociated neurological disease have been postulated:
immune-mediated damage, direct invasion of the central nervous system, and
production of a neurotoxin by M pneumoniae.4 We report a case of cutaneous leukocytoclastic vasculitis
and encephalitis associated with acute M pneumoniae
infection. To our knowledge, this association has not been previously reported.
REPORT OF A CASE
A 75-year-old right-handed man presented with a 10-day history of . . . [Full Text of this Article]
COMMENT
From the Department of Internal Medicine, Hospital Virgen del Camino,
Pamplona, Spain.
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ABSTRACT
Acute Necrotizing Encephalopathy by Mycoplasma pneumoniae Infection?
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Arch Intern Med 2002;162:1647-1647.
FULL TEXT
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