Abstract:Background: We report a case of serum myeloperoxidase (MPO)-anti-neutrophil cytoplasmic antibody (ANCA)-positive hypertrophic pachymeningitis with elevated serum immunoglobulin G (IgG)4.Case presentation: He was a 67-year-old man who appeared headache and hearing loss 7 years ago. He was treated with methylprednisolone and mycophenolate when he was diagnosed with hypertrophic pachymeningitis 2 years ago. He went to the hospital this time because of fatigue and appetite, the results of his blood tests indicated… Show more
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