Case Report: successful non-surgical management of massive isolated tricuspid Libman-Sacks endocarditis in a pregnant patient with SLE and secondary APS

BackgroundIsolated tricuspid valve Libman-Sacks endocarditis (LSE) is extremely rare, and its occurrence during pregnancy with severe thrombocytopenia poses major diagnostic and therapeutic challenges.Case summaryA 21-year-old pregnant woman at 13 week…

Case Report: donor cell-derived leukemia after allogeneic stem cell transplantation for metastatic renal cell carcinoma

Donor cell-derived leukemia (DCL) is a rare complication of allogeneic hematopoietic cell transplantation (allo-HCT), previously described in patients receiving allo-HCT for hematologic malignancies. Allo-HCT has also been investigated as an immunother…

Case Report: dynamic monocyte reprogramming during ALSS therapy in type B HBV-ACLF revealed by single-cell transcriptomics

BackgroundHepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) is characterized by intense systemic inflammation and immune dysregulation, with monocytes playing a central role in its progression. Patients with HBV-ACLF typically receive…

Successful treatment of refractory focal eosinophilic myositis with extra-ocular muscle involvement using tocilizumab: a case report

Eosinophilic myositis (EM) is a rare subset of idiopathic inflammatory myopathies characterized by prominent eosinophilic infiltration of skeletal muscle. It encompasses focal eosinophilic myositis (FEM), diffuse eosinophilic myositis, and eosinophilic…

Case Report: Successful treatment of recurrent COVID-19 with intravenous immunoglobulin in a patient with rituximab-induced B-cell depletion and restoration of Fc-mediated effector functions

We report the case of a 47-year-old woman with neuromyelitis optica spectrum disorder who developed prolonged coronavirus disease 2019 (COVID-19) pneumonia 3 months after receiving rituximab. Rituximab-induced B-cell depletion left her highly susceptib…

Case Report: Presenting as optic neuritis—a biopsy-proven IgG4 anti-NF155–positive combined central and peripheral demyelination syndrome

Combined central and peripheral demyelination (CCPD) is a condition characterized by concurrent demyelination in both the central and peripheral nervous systems. To date, cases of CCPD presenting with isolated optic neuritis as the initial manifestatio…

Triple antibody-associated autoimmune encephalitis overlap: a case report of co-existing MOG-IgG, anti-NMDAR, and anti-mGluR5 positivity

BackgroundAutoimmune encephalitis (AE) refers to a group of inflammatory brain disorders mediated by autoantibodies against neuronal surface antigens, synaptic receptors, or glial proteins. The co-occurrence of anti-N-methyl-D-aspartate receptor (NMDAR…

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