Corticosteroid withdrawal precipitates perilesional edema around calcified Taenia solium cysts

Am J Trop Med Hyg. 2013 Nov;89(5):919-23. doi: 10.4269/ajtmh.13-0350. Epub 2013 Sep 3.

Abstract

Calcified Taenia solium granulomas are the focus of repeated episodes of perilesional edema and seizures in 50% of persons with calcifications, history of seizures, and a positive serology for cysticercosis. The pathophysiology is unclear but recent studies suggest the edema is caused by inflammation. We report two new cases and four other published cases where cessation of corticosteroids appeared to result in recurrence or new appearance of perilesional edema around calcifications. This suggests that perilesional edema is an immune-mediated phenomenon.

Publication types

  • Case Reports
  • Research Support, N.I.H., Intramural

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Adult
  • Animals
  • Brain Edema / complications*
  • Brain Edema / drug therapy
  • Brain Edema / immunology
  • Brain Edema / parasitology
  • Calcinosis / complications*
  • Calcinosis / drug therapy
  • Calcinosis / immunology
  • Calcinosis / parasitology
  • Cysticercosis / complications*
  • Cysticercosis / drug therapy
  • Cysticercosis / immunology
  • Cysticercosis / parasitology
  • Cysticercus / isolation & purification
  • Drug Administration Schedule
  • Female
  • Granuloma / complications*
  • Granuloma / drug therapy
  • Granuloma / immunology
  • Granuloma / parasitology
  • Humans
  • Inflammation / complications
  • Inflammation / drug therapy
  • Inflammation / immunology
  • Inflammation / parasitology
  • Male
  • Middle Aged
  • Recurrence
  • Seizures / complications*
  • Seizures / drug therapy
  • Seizures / immunology
  • Seizures / parasitology
  • Taenia solium / isolation & purification

Substances

  • Adrenal Cortex Hormones