Please use this identifier to cite or link to this item:
|Title:||Elevated Thyroid Peroxidase Antibodies with Encephalopathy in MELAS Syndrome|
|Citation:||Chan, D.W.S., Lim, C.C.T., Tay, S.K.H., Choong, C.-T., Phuah, H.K. (2007-06). Elevated Thyroid Peroxidase Antibodies with Encephalopathy in MELAS Syndrome. Pediatric Neurology 36 (6) : 414-417. ScholarBank@NUS Repository. https://doi.org/10.1016/j.pediatrneurol.2007.02.005|
|Abstract:||Both the syndrome of mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS syndrome) and Hashimoto's encephalopathy can present with nonspecific encephalopathy. Hashimoto's encephalopathy is an association of steroid-responsive encephalopathy with elevated thyroid peroxidase antibodies. Steroid-responsive encephalopathy, however, is not characteristic of the MELAS syndrome, which typically presents with stroke-like episodes and lactic acidosis in cerebrospinal fluid and blood. Here, a patient is described with goiter, recurrent encephalopathy and elevated thyroid peroxidase antibodies who apparently responded to steroid therapy; however, magnetic resonance imaging was atypical for Hashimoto's encephalopathy, and she was diagnosed with MELAS syndrome. This syndrome can present with apparent steroid-responsive encephalopathy and elevated thyroid peroxidase antibodies, mimicking Hashimoto's encephalopathy, and should be suspected if lactic acidosis is present and typical features are detected on magnetic resonance imaging. © 2007 Elsevier Inc. All rights reserved.|
|Source Title:||Pediatric Neurology|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
checked on May 13, 2018
WEB OF SCIENCETM
checked on Apr 24, 2018
checked on May 10, 2018
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.