UNASSIGNED: A 30-year-old @entity1 was admitted to the first institution with subacutely progressive @entity2026 and @entity308 . Despite of lacking conclusive evidence on magnetic resonance imaging, cerebrospinal fluid examination, or electroencephalogram, we tentatively diagnosed her disease as @entity75 due to its acute progression. High-dose @entity1667 was started on admission. However, symptoms did not improve. To make matters worse, @entity146 symptoms, such as @entity1833 and emotional @entity322 , appeared on the same day. Additional treatment with plasma exchange and intravenous immunoglobulin administration was also ineffective. Therefore, we could not manage the @entity1 in a general ward due to severe @entity146 symptoms. The @entity1 was transferred to a @entity146 ward in the second institution. She received both @entity146 treatment and @entity479 therapy, including a second course of intravenous high-dose @entity1667 , followed by long-term oral @entity617 . Her symptoms gradually improved. A final diagnosis of @entity14752 was made based on the @entity1 's clinical course and positive results for both serum anti-thyroid antibody and anti-NAE antibody. In our case, long-term oral @entity479 therapy under @entity146 treatment was effective for good outcome.

A case of @entity14752 successfully treated with oral XXXX therapy, resistant to high-dose @entity1667 , plasma exchange and intravenous immunoglobulin.

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity1667 :: ('MESH:D008775', 'Chemical') :: ['methylprednisolone'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric'] @entity75 :: ('MESH:D001927', 'Disease') :: ['limbic encephalopathy'] @entity1833 :: ('MESH:D006212', 'Disease') :: ['hallucinations'] @entity14752 :: ('MESH:C535841', 'Disease') :: ["Hashimoto's encephalopathy"] @entity2026 :: ('MESH:D001037', 'Disease') :: ['aphasia'] @entity617 :: ('MESH:D011239', 'Chemical') :: ['prednisolone'] @entity479 :: ('D013256', 'Chemical') :: ['steroid']
@entity479 :: (D013256,Chemical) :: ['steroid']
