Key result
A woman with refractory celiac disease developed fatal nonparaneoplastic encephalitis presenting with myorhythmia and carpal spasm.
Case Report (n=1)
This case highlights that nonparaneoplastic encephalitis can present with myorhythmia in patients with refractory celiac disease.
Alerts clinicians to fatal nonparaneoplastic encephalitis in refractory celiac disease; single case leaves open prevalence and causality.
We report the case of a woman with refractory celiac disease who developed abnormal spontaneous movements of the extremities and face consistent with myorhythmia. Investigation led to a diagnosis of encephalitis, confirmed by postmortem examination. The movements were likely caused by nonparaneoplastic encephalitis associated with refractory celiac disease. Etiologic and diagnostic considerations and treatment options are discussed.
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Dimberg et al. (2007) conducted a case report in Refractory celiac disease and encephalitis (n=1). A woman with refractory celiac disease developed fatal nonparaneoplastic encephalitis presenting with myorhythmia and carpal spasm.
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