• Long Cao, Meiping Liu, Li Guo, Mingyan Li, Min Xu, and Rui Wang.
• College of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan, People's Republic of China.
• Medicine (Baltimore). 2023 Mar 17; 102 (11): e33211e33211.

AbstractChronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) is still a rare autoimmune disease in the world. In recent years, there are more and more reports about the clinical manifestations of CLIPPERS, but the specific etiology and pathogenesis are not clear. In this paper, by collating the literature reported in recent years, in the reported effective treatment cases, we found the current hypothesis about the pathogenesis of CLIPPERS. Three pathogenesis hypotheses: organ-specific autoimmunity; virus infection affects autoimmunity; and helper T lymphocyte 17 mediates autoimmunity. Although it is hypothetical, it is expected to further clarify the pathogenesis, evolution characteristics, and treatment of CLIPPERS, so as to provide a reference for further understanding of the disease. In the future, more observations and studies are needed to further verify the feasibility of the hypothesis. This article expands on atypical clinical manifestations and summarizes treatment options. Hope to provide a reference for clinical diagnosis and treatment of CLIPPERS.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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