Yet Another Curious Case of CLIPPERS

 A very interesting variant on CLIPPERS which may offer more research clues has recently appeared. In the paper, "Neurotropic T-cell lymphocytosis : a cutaneous expression of CLIPPERS",  a patient is described who satisfies the current diagnostic criteria for CLIPPERS. However, in addition this person also suffered from sub-cutaneous ("beneath skin")  lesions for some years before, and after, their CLIPPERS diagnosis. The authors points out the similarities in the composition of the skin lesions compared with what is observed in CLIPPERS brain lesions. They make the point that sampling  tissue outside the brain to test for CLIPPERS would be very helpful for diagnosis. However, in this case a brain biopsy for direct comparison was not available so at least one key part of the puzzle is currently missing. 

This is certainly the only case like this that I have read about; the observations are intriguing. I think that time will tell whether this turns out to be a key insight or an interesting aside.

Read other articles in this series at Living With CLIPPERS.

Living With CLIPPERS by Bill Crum is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

CLIPPERS News

 

(Unfortunately the biggest CLIPPERS news this week is not about the neurological condition but about the owner of the American basketball team. I can't compete with that, but can offer a couple of more modest news items. )

I met my neurologist yesterday and, to summarise, "no news is good news". I am being maintained on Azathioprine and will be scanned again in the next few weeks to be on the safe side. Vision (follow-the-finger) was judged good and balance/walking also OK. I'm not brilliant at standing on one leg with my eyes shut but would argue that was also the case before CLIPPERS arrived on the scene!

Last week, I received an update from Dr Tobin at the Mayo Clinic regarding the CLIPPERS repository. As a result of it appearing on this blog, 9 people have signed up so far (including me). Dr Tobin thinks this is an excellent response given the rarity of the condition, and this number of volunteers will allow the team to expand on their originally planned work.

Read other articles in this series at Living With CLIPPERS.

Living With CLIPPERS by Bill Crum is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

The CLIPPERS Repository

Spring at Last!

I am really pleased and excited to be able to tell you about a new initiative from the Mayo Clinic to start systematically collecting samples (blood/tissue) and records of CLIPPERS patients from around the world. The idea is that by looking in detail at as many cases as possible there is more chance of finding out about what triggers or causes CLIPPERS. Eventually this could lead to simpler diagnosis and more effective treatment. If you are interested in participating you can find out some more about the project on this new blog page, including contact details for Dr Tobin, the lead investigator.

Read other articles in this series at Living With CLIPPERS.

Living With CLIPPERS by Bill Crum is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

CLIPPERS: where are we now?

A new article has been published which attempts a comprehensive review of CLIPPERS as it stands in 2013/2014. It is written for medics, but I thought gave a really good general summary of the condition, the research studies, the diagnosis, the treatments and the "still to do". I think it should prove particularly useful for doctors new to the condition. As far as I can tell it is freely available by following the above link, but if that doesn't work for any reason, you could try emailing Dr Dudesek and asking for a "preprint".

Read other articles in this series at Living With CLIPPERS.

Living With CLIPPERS by Bill Crum is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.