Annals of Clinical and Translational Neurology (Feb 2021)

Infiltration of plasma cells in colorectal adenocarcinoma associated with autoimmune encephalitis

  • Yaqing Shu,
  • Dan He,
  • Xiaoyu Ma,
  • Jianfang Li,
  • Haotian Wu,
  • Chen Chen,
  • Zhengqi Lu,
  • Frank Petersen,
  • Wei Qiu,
  • Xinhua Yu

DOI
https://doi.org/10.1002/acn3.51283
Journal volume & issue
Vol. 8, no. 2
pp. 498 – 503

Abstract

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Abstract Paraneoplastic autoimmune encephalitis (PAE) represents a group of rare neurological syndromes associated with neoplastic diseases. Here, we report a case that multiple anti‐neuronal antibodies were present in a patient with PAE who developed both small cell lung cancer and colorectal adenocarcinoma. Furthermore, the immunopathological investigation of the colorectal adenocarcinoma revealed the formation of abnormal neuronal antigens and a massive infiltration of plasma cells in the tumor tissue. These findings support the hypothesis that expression of neuronal antigens in neoplasm initiates autoimmune responses in PAE.