PMID- 29888734
OWN - NLM
STAT- MEDLINE
DCOM- 20181019
LR  - 20181019
IS  - 1119-3077 (Print)
VI  - 21
IP  - 6
DP  - 2018 Jun
TI  - Hypereosinophilic atopic transverse myelitis.
PG  - 816-819
LID - 10.4103/njcp.njcp_209_17 [doi]
AB  - Atopic transverse myelitis is a rare disorder that is defined as a localized 
      myelitis of an unknown cause in patients with either high immunoglobulin E (IgE) 
      level or mite-specific IgE or coexistent atopic disease. It is a cause of 
      intramedullary cord lesions, but its diagnosis does not need tissue confirmation. 
      We report a case of a patient who presented with bladder and anal incontinence, 
      paresthesia, and lower limb weakness. Neither IgE level nor mite-specific IgE 
      level could be determined due to lack of fund; however, magnetic resonance 
      imaging (MRI) of the thoracolumbar region showed hypotense-isotense lesion within 
      the spinal cord at T4 vertebral level, suggestive of transverse myelitis. Blood 
      cell count showed hypereosinophilia. Therefore, a diagnosis of atopic transverse 
      myelitis based on high eosinophil count and MRI was made. Patient was commenced 
      on prednisolone and had good response to treatment. Complete blood count is a 
      cheap simple diagnostic tool in resource-poor country to distinguish atopic 
      transverse myelitis from other causes of intramedullary cord lesions.
FAU - Fasola, F A
AU  - Fasola FA
AD  - Department of Haematology, University College Hospital; Department of 
      Haematology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
FAU - Aworanti, O W
AU  - Aworanti OW
AD  - Department of Haematology, University College Hospital, Ibadan, Nigeria.
LA  - eng
PT  - Case Reports
PL  - India
TA  - Niger J Clin Pract
JT  - Nigerian journal of clinical practice
JID - 101150032
RN  - 0 (Glucocorticoids)
RN  - 9PHQ9Y1OLM (Prednisolone)
SB  - IM
MH  - Adolescent
MH  - Eosinophilia
MH  - Fecal Incontinence/etiology
MH  - Glucocorticoids/therapeutic use
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Myelitis, Transverse/*diagnostic imaging/drug therapy
MH  - Paresthesia/etiology
MH  - Prednisolone/therapeutic use
MH  - Spinal Cord/*diagnostic imaging
MH  - Treatment Outcome
MH  - Urinary Incontinence/etiology
OTO - NOTNLM
OT  - Atopic transverse myelitis
OT  - blood count
OT  - eosinophilia
COIS- There are no conflicts of interest
EDAT- 2018/06/12 06:00
MHDA- 2018/10/20 06:00
CRDT- 2018/06/12 06:00
PHST- 2018/06/12 06:00 [entrez]
PHST- 2018/06/12 06:00 [pubmed]
PHST- 2018/10/20 06:00 [medline]
AID - NigerJClinPract_2018_21_6_816_234038 [pii]
AID - 10.4103/njcp.njcp_209_17 [doi]
PST - ppublish
SO  - Niger J Clin Pract. 2018 Jun;21(6):816-819. doi: 10.4103/njcp.njcp_209_17.