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未经免疫治疗症状好转的抗二肽基肽酶样蛋白6脑炎1例

LI Xueying LIU Xiaohong ZHAO Wei

内科理论与实践2025,Vol.20Issue(5):381-384,4.
内科理论与实践2025,Vol.20Issue(5):381-384,4.DOI:10.16138/j.1673-6087.2025.05.06

未经免疫治疗症状好转的抗二肽基肽酶样蛋白6脑炎1例

Anti-dipeptidyl-peptidase-like protein 6 encephalitis with symptom improvement without immunotherapy:a case report

LI Xueying 1LIU Xiaohong 1ZHAO Wei1

作者信息

  • 1. Department of Neurology,Putuo People's Hospital Affiliated to Tongji University,Shanghai 200060,China
  • 折叠

摘要

Abstract

Anti-dipeptidyl-peptidase-like protein 6(DPPX)antibody-associated encephalitis is a rare autoimmune encephalitis.This case report describes an elderly male patient with acute onset,whose main symptoms included slurred speech,limb numbness,dizziness,and unsteady gait.The patient had a clear history of preceding infection.Anti-DPPX antibodies were positive in both serum and cerebrospinal fluid,with concurrent seropositivity for anti-ganglioside GQ1b(GQ1b)antibodies.Brain magnetic resonance imaging showed no evidence of acute cerebrovascular disease,tumors,or related lesions.Screening of other systemic organs and lymph nodes revealed no associated malignancies.Without immunotherapy,the patient's symptoms gradually improved.This case enriches the clinical,diagnostic,and prognostic data on anti-DPPX antibody-associated encephalitis.

关键词

脑炎/抗二肽基肽酶样蛋白6抗体/临床特征

Key words

Encephalitis/Anti-dipeptidyl-peptidase-like protein 6 antibody/Clinical features

分类

医药卫生

引用本文复制引用

LI Xueying,LIU Xiaohong,ZHAO Wei..未经免疫治疗症状好转的抗二肽基肽酶样蛋白6脑炎1例[J].内科理论与实践,2025,20(5):381-384,4.

内科理论与实践

1673-6087

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