Autoimmune encephalitis associated with vitiligo?

J Neuroimmunol. 2017 Sep 15:310:14-16. doi: 10.1016/j.jneuroim.2017.05.019. Epub 2017 Jun 7.

Abstract

The autoimmune encephalitis can develop with or without an underlying tumor. For tumor-negative autoimmune encephalitis, the causes are still largely unknown. Here we presented three patients with autoimmune encephalitis accompanied with vitiligo. Among them, two patients suffered from anti-leucine-rich glioma-inactivated 1 (LGI1) encephalitis and one patient suffered from anti-IgLON5 encephalopathy. All of them received intravenous immunoglobulin and steroids as immunotherapy. The two patients with anti-LGI1 encephalitis recovered and got a good prognosis. For the patient with anti-IgLON5 encephalopathy, he only got a moderate and transient improvement. Based on the above, we speculate that vitiligo may be a clue to an autoimmune cause for encephalitis.

Keywords: Autoimmune encephalitis; IgLON5; Leucine-rich; Vitiligo; glioma-inactivated 1 (LGI1).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibodies / blood
  • Cognition Disorders / etiology
  • Encephalitis / complications*
  • Encephalitis / diagnostic imaging
  • Hashimoto Disease / complications*
  • Hashimoto Disease / diagnostic imaging
  • Humans
  • Intracellular Signaling Peptides and Proteins
  • Male
  • Middle Aged
  • Neuroimaging
  • Proteins / immunology
  • Vitiligo / complications*
  • Vitiligo / diagnostic imaging

Substances

  • Antibodies
  • Intracellular Signaling Peptides and Proteins
  • LGI1 protein, human
  • Proteins

Supplementary concepts

  • Hashimoto's encephalitis