Abstract
64. Hypertrophic pachymeningitis-myeloperoxidase antineutrophil cytoplasmic antibody-associated vasculitis or human immunodeficiency virus-related disease?
Highlights
Hypertrophic pachymeningitis is a rare clinical disorder involving localised or diffuse thickening of the dura mater mostly around the brainorrarely, thespinal cord
Hypertrophic pachymeningitis is thought to be associated with several granulomatous disorders: autoimmune diseases such as antineutrophil cytoplasmic antibody (ANCA) associated vasculitis, rheumatoid arthritis, sarcoidosis, and IgG4-related disorder; infections such as tuberculosis, syphilis, bacterial or fungal diseases; neoplasms such as lymphoma; and the idiopathic variety when evaluation fails to reveal a cause
This case report describes ANCA-associated vasculitis manifesting as hypertrophic pachymeningitis in a 68 year old male known to have chronic stable human immunodeficiency virus (HIV)
Summary
Hypertrophic pachymeningitis is a rare clinical disorder involving localised or diffuse thickening of the dura mater mostly around the brainorrarely, thespinal cord. Priyanka Agrawal1, Sunil Melath2, and Henry Penn1 1Rheumatology, Northwick Park Hospital, Harrow, UNITED KINGDOM, and 2Rheumatology, Frimley Park Hospital, Frimley, UNITED KINGDOM This case report describes ANCA-associated vasculitis manifesting as hypertrophic pachymeningitis in a 68 year old male known to have chronic stable human immunodeficiency virus (HIV).
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