A case of stiff dog syndrome associated with anti-glutamic acid decarboxylase antibodies

dc.contributor.authorPancotto, Theresa E.en
dc.contributor.authorRossmeisl, John H. Jr.en
dc.date.accessioned2017-08-03T20:16:04Zen
dc.date.available2017-08-03T20:16:04Zen
dc.date.issued2017-05-10en
dc.date.updated2017-08-03T11:00:55Zen
dc.description.abstractBackground The stiff person syndrome (SPS) is a rare and debilitating autoimmune disorder with an unknown pathogenesis and variable clinical presentation that can present a diagnostic challenge. Although entities that clinically mimic stiff-person spectrum disorders (SPSD) have manifested in horses, they have not been reported in dogs. Case presentation We describe a 2-year-old beagle dog presented for progressive attacks of muscular rigidity and lordosis with superimposed spasms of the appendicular muscles triggered by tactile stimulation which resulted in marked gait impairment. Resting electromyography revealed continuous motor unit activity in the axial musculature. Compared to age-matched healthy beagle dogs, this patient had elevated glutamic acid decarboxylase antibody concentrations in serum and cerebrospinal fluid. Conclusions This dog presented with phenotypic, electrodiagnostic, and immunologic criterion consistent with an SPSD, including elevated anti-GAD antibody titers, which we have termed the “stiff dog syndrome (SDS)”. Durable clinical improvement was achieved with symptomatic and immunosuppressive treatments including baclofen, gabapentin, prednisone, and intravenous immunoglobulin.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationJournal of Clinical Movement Disorders. 2017 May 10;4(1):5en
dc.identifier.doihttps://doi.org/10.1186/s40734-017-0053-3en
dc.identifier.urihttp://hdl.handle.net/10919/78663en
dc.language.isoenen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.holderThe Author(s)en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titleA case of stiff dog syndrome associated with anti-glutamic acid decarboxylase antibodiesen
dc.title.serialJournal of Clinical Movement Disordersen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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