CLIPPERS: Looking to connect with others

Posted by Becky, Volunteer Mentor @becsbuddy, Nov 14, 2019

Have you ever been told that you have Clippers disease and you’re thinking: “ what? I’ve never heard of such a thing! What on earth”? Well Clippers is real and is one of the newer Autoimmune Diseases—it was only given a name in 2010. It’s similar to many other AD I’ve read about on Connect: vague, random symptoms that can be debilitating and difficult to diagnose. An MRI and brain biopsy are needed to confirm diagnosis.

My journey with Clippers (Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids) began with unexplainable vomiting. After many trips to the ER and being shrugged off be doctors, someone decided that it must be a gallbladder problem, so it was taken out, but nothing changed. The vomiting got worse and, eventually, I couldn’t walk without help, I choked on foods and water, my voice changed, and I lost 20 pounds. I was finally taken seriously by doctors when husband again took me to the ER and I was basically unresponsive. I was admitted and given an MRI (which I had repeatedly begged for) and the scan showed a large area of demyelination of my brain. None of the doctors knew what was going on, but the neurologist finally decided on intravenous steroids and a brain biopsy. I have no memory of that hospitalization. When I got to rehab, my husband took me to University of Colorado medical center where I continue to get treatment in their neurology-immunology department.

My message is to encourage anyone, with unexplainable symptoms, to tell the doctors to “think outside the box” and to advocate for themselves. Have someone go with you to appointments and to take notes! Don’t keep information only in your head!

Anyone else out there?

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

@donnyboy

Sue,

I had my Pet-CT and two MRIs at NYU Langone on Monday. The results are in my hands before any word from the doctor, and they look quite good, with no abnormalities found and little difference from earlier procedure results. So this appears good from the perspective of confirming I am in a stable period and condition. At the same time, it keeps what's causing my symptoms unknown. I am of course looking forward to what my doctor has to say and will share this with you, as well as others who may find it helpful.

Looked at your profile, Sue, for the first time and see that we are similarly happily married, grandchildren-ed and each have a cat! And each into emphasizing positivism. I am reluctant to fill out my own profile, having spent many years as a privacy consultant, although I do wonder, at my age, and in this context, if it makes any difference!

Anyhow, thinking of you and hoping the best for you.

Don

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To add to this, I had an appointment with my neurologist today and she said she just recently discussed the PET-CT and MRI results with the NYU Langone doctor who arranged them. Both are in agreement that I seem to have entered a stable period in which a daily dose of 20mg Prednisone is serving me well. They are both inclined to keep me on this, given my current condition, my age, my medical history, etc, but will try something else if new symptoms develop or the stability goes away. I am quite content with this, although it does mean accepting that what has caused my demyelination disease remains a mystery.

Don

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@donnyboy

To add to this, I had an appointment with my neurologist today and she said she just recently discussed the PET-CT and MRI results with the NYU Langone doctor who arranged them. Both are in agreement that I seem to have entered a stable period in which a daily dose of 20mg Prednisone is serving me well. They are both inclined to keep me on this, given my current condition, my age, my medical history, etc, but will try something else if new symptoms develop or the stability goes away. I am quite content with this, although it does mean accepting that what has caused my demyelination disease remains a mystery.

Don

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Hi Don!
That is so good that you are stable! I am too!
On 20 mg daily as you are. In reading through all the messages, most people are on 20 mg. That seems to be the magic number for this disease.
Yes, it is hard to accept that they cannot pin down what caused this.
I was able to work out last night. Working from home today, thankfully. So far feel good.
Enjoy the rest of your week!
Sue

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Hey Don,
That’s good news. Hope that continues for you.
Kristy

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Hello Fellow Clipperheads,
I am wondering if anyone is struggling with pressure and burning inside the skull. My doc thinks it’s from the brain inflammation, noted on my MRI (in addition to the T2-Flair in the PONS). I can always feel it, but some days it is very intense and hurts, too. On these days I have greater difficulty with balance, coordination, and some tremor. And, my low humming tinnitus is worse on these days, too. Do any of you experience this combo of symptoms? It seems that with CLIPPERS there is a lot of variation from person to person, probably because the PONS has so may important nerves in it. Just hoping to chat with someone with similar symptoms.
Thanks. Kristy

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@suec147

Hi Don!
That is so good that you are stable! I am too!
On 20 mg daily as you are. In reading through all the messages, most people are on 20 mg. That seems to be the magic number for this disease.
Yes, it is hard to accept that they cannot pin down what caused this.
I was able to work out last night. Working from home today, thankfully. So far feel good.
Enjoy the rest of your week!
Sue

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Sue,

I'm so happy that you are enjoying life again! I burst into hoops and smiles when reading your message! Hope this continues and the stability you are feeling lasts. Unfortunately, you never know, until something happens or time passes, but super that its looking good now.

Yeah!

Don

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I’ve been out the hospital since July 12. Started on 60 mg prednisone for a couple of weeks and then start stepping down 5 mg a week and now down to 45 mg. While this has me back to about 90% everything but my right leg still is still tingling and some numbness I also feel like my motor skills are only about 90%. These symptoms started around the middle of June while I was on 60 mg of prednisone for my lung issues. When I ask my dr about these symptoms on July 1st they told me to stop the prednisone, which lead to the full on attack in July 3 and thus my diagnosis. I say all this cause I’m praying that with the correct medication the remaining symptoms go away or this may be my new normal.
Haven’t driven since end of June. Don’t want to put myself, others or the company I work for at risk. Any feedback on these as I’ve only started this journey, diagnosed July 8, 2024.

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Jamie here,
I'm down to 45 mg weekly, they are getting me to 40 mg a week. While the prednisone has kept me from a complete relapse like first of July. My whole body is in a state of numbness and tingly. I describe it has I just finished up a legs and arm day at the gym, and my nerves are having a party (dancing around everyone) and my hair feels like its running. Went for my MRI and couldn't get in the machine past my shoulders (6'4 350). Have an new appointment for Aug 20, so this had delayed the neurologist for now. I do have an appointment on Aug 9 to see a rheumatologist at UVA. Work has been great to work with, working as I can and they have a driver picking me up each morning so I can go to the office. I'm still not driving, arms feel heavy and reflexes are off, at least I feel like they are.

THIS IS A GREAT SUPPORT GROUP, THANK YOU

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@suec147

Hi Don!
That is so good that you are stable! I am too!
On 20 mg daily as you are. In reading through all the messages, most people are on 20 mg. That seems to be the magic number for this disease.
Yes, it is hard to accept that they cannot pin down what caused this.
I was able to work out last night. Working from home today, thankfully. So far feel good.
Enjoy the rest of your week!
Sue

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I was unaware that Prednisone could be taken as a maintenance drug. Wow! Wonderful! I'm on a taper right now and I know once I have taken my last pill tomorrow that next week I will feel like crap again! For what disease in particular is Prednisone taken on a maintenance level? I see my Ra doc next week and I intend to discuss long term with him for my multiple RA tagalongs! Thanks for writing about this!!

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@jamie72

I’ve been out the hospital since July 12. Started on 60 mg prednisone for a couple of weeks and then start stepping down 5 mg a week and now down to 45 mg. While this has me back to about 90% everything but my right leg still is still tingling and some numbness I also feel like my motor skills are only about 90%. These symptoms started around the middle of June while I was on 60 mg of prednisone for my lung issues. When I ask my dr about these symptoms on July 1st they told me to stop the prednisone, which lead to the full on attack in July 3 and thus my diagnosis. I say all this cause I’m praying that with the correct medication the remaining symptoms go away or this may be my new normal.
Haven’t driven since end of June. Don’t want to put myself, others or the company I work for at risk. Any feedback on these as I’ve only started this journey, diagnosed July 8, 2024.

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Hello @jamie72 Welcome to Mayo Clinic Connect! We’re glad you found the site. The folks in this discussion group are great and will happily answer all you questions (if we know the answers!).
Can you tell me who diagnosed you with clippers? And, have you had all the diagnostic tests: MRI, and maybe a brain biopsy? I do have to say, that clippers is not an easy disease for most. Some patients with little brain involvement, can get to a very positive point in the disease. As for me, I’m in year 6-7 and still have to work hard and pay attention to what I’m doing. I’m on CellCept and 4 mg prednisone (I’m trying to taper off, but it’s not easy.) I just started Rituxan which really made a difference! And, I get my 2nd dose this week! What do you hope will happen with treatment?

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@becsbuddy

Hello @jamie72 Welcome to Mayo Clinic Connect! We’re glad you found the site. The folks in this discussion group are great and will happily answer all you questions (if we know the answers!).
Can you tell me who diagnosed you with clippers? And, have you had all the diagnostic tests: MRI, and maybe a brain biopsy? I do have to say, that clippers is not an easy disease for most. Some patients with little brain involvement, can get to a very positive point in the disease. As for me, I’m in year 6-7 and still have to work hard and pay attention to what I’m doing. I’m on CellCept and 4 mg prednisone (I’m trying to taper off, but it’s not easy.) I just started Rituxan which really made a difference! And, I get my 2nd dose this week! What do you hope will happen with treatment?

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I had an MRI on July 7. My primary doctor, the hospital in house neurologist, and an out patient neurologist made the first diagnosis. I have been to UVA and the neurologist there is 99% sure it is clippers. But is doing another MRI to confirm and make sure something else is going on. She said that if is was just clippers that the brain lesions should be clearing up with the prednisone.

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