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.

Profile picture for Lori, Volunteer Mentor @loribmt

Hi @altabiznet I checked my records but can’t find the actual orders for the Rituximab dosages. But I received one infusion weekly for four weeks.
Right after I was admitted back to the BMT floor at Mayo, my transplant doctor was there to meet me in my room along with another specialist whom he’d called in. This was a neurology pathologist who specializes in movement disorders and autoimmune neurology. Between the two of them they came up with a diagnostic plan for testing and then met back a few hours later with the diagnosis and treatment. It was a whirlwind for sure.

The rituximab was started a week after my release from the hospital when I could return home. Within that first 3 days on the 1000 ml Solumedrol in the hospital, I was able to actually walk on my own again with a walker. By the end of the week, I was back to walking solo several miles daily around the clinic. My follow-up treatment besides the steroids (500 to 250 ml weekly for 9 months) was the Rituximab for the next month. With combination of those treatments allowed my spinal cord to fully heal. I had PT to help regain core strength and gait improvement.

For a several years I had what I referred to as ‘electric days’ where I’d have some zaps and tingles. But subsequent MRIs showed no new activity so that was awesome! Even my doctors had said, if they hadn’t seen the before MRIs to compare with they would never know the extent of the damage without comparison. So I was really lucky. Sorry, that’s more than I usually share.

I don’t know where you live but if you’re interested in a 2nd opinion from a specialist at Mayo, it would be worth the trip.
Here is a link for requesting an appointment: http://mayocl.in/1mtmR63

Have you been working with neurologist since all of these symptoms started? What testing have you had in relation to your neurological symptoms?

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@loribmt

I am yet to see a neurologist. All the information you have provided is very helpful. Thank you so much for sharing your experience. I will keep updating.

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Profile picture for jimvosacek @jimvosacek

Good to see responses regarding CLIPPERS. I too have had it for 4 years and I believe that there is little response on this site because it is so rare. I have been getting daily comments on this site but seldom references regarding CLIPPERS. Today was a good day for people making comments on CLIPPERS. I take 20 mg of prednisone to be functional. I know I will never be the same as before I came down with CLIPPERS. Glad to be alive!

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@jimvosacek Usually we get lots of feedback from other ‘clipper heads’ as one member described us! You’ve got a great upbeat manner so I’m glad you’re here! I was on 20mgs. Of pred also because I couldn’t taper off at the usual pace. Told my doctor to use let me slowly taper off. It took awhile but I’m totally off now!
Has your doctor discussed further tapering with you? Also, ask your doc about a scan for bone density. Prednisone can really be hard on your bones and you don’t want osteoporosis.

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Good morning, I was off prednisone two years ago for a year but I fell and broke 4 ribs and puncture a lung that put me in a hospital for a week. So I am back on prednisone for who knows how long. Yes, I would like to get off of it but I am dealing with it and taking vitamin D3, K2 and calcium. I also do resistance work-out. My neurologist is afraid to stop the prednisone after my fall and reviewing a MRI. Again, I am happy to be function and be live. Many others have it much worse.

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Profile picture for jimvosacek @jimvosacek

Good to see responses regarding CLIPPERS. I too have had it for 4 years and I believe that there is little response on this site because it is so rare. I have been getting daily comments on this site but seldom references regarding CLIPPERS. Today was a good day for people making comments on CLIPPERS. I take 20 mg of prednisone to be functional. I know I will never be the same as before I came down with CLIPPERS. Glad to be alive!

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@jimvosacek
I was diagnosed with Clippers 6 months ago. Initially treated with Prednisone for three months, then tapered and now on Mycophenolate. My only symptoms at time of diagnosis was double vision and slight dizziness. After 3 weeks of being on Prednisone started having back pain, progressed to scapular and sternum pain, also abdominal swelling, rib pain and occasional pain in right side . No explanation for any of this.
I am waiting for an appointment for second opinion.

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You are proof that everyone is different. I as well have CLIPPERS for about four years. I am doing well on prednisone. Yes there are negative side effects such as osteoporosis and retina damage. But it has kept me alive! I hope you are successful in finding the drug/procedure that helps. Jim

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Profile picture for ebjj4health @ebjj4health

@jimvosacek
I was diagnosed with Clippers 6 months ago. Initially treated with Prednisone for three months, then tapered and now on Mycophenolate. My only symptoms at time of diagnosis was double vision and slight dizziness. After 3 weeks of being on Prednisone started having back pain, progressed to scapular and sternum pain, also abdominal swelling, rib pain and occasional pain in right side . No explanation for any of this.
I am waiting for an appointment for second opinion.

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@ebjj4health I have not heard of sternum and scapular. So you are off prednisone? Maybe you were taken off too soon, did the doctors ever order an MRI? This is important because no one can see clippers, only the effects of it. Ask the doctor about doing an MRI (I think it’s standard protocol). An MRI lets the doctor see where the lesions were/are. Please get back to us and tell what the new MRI shows!

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Profile picture for Becky, Volunteer Mentor @becsbuddy

@ebjj4health I have not heard of sternum and scapular. So you are off prednisone? Maybe you were taken off too soon, did the doctors ever order an MRI? This is important because no one can see clippers, only the effects of it. Ask the doctor about doing an MRI (I think it’s standard protocol). An MRI lets the doctor see where the lesions were/are. Please get back to us and tell what the new MRI shows!

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@becsbuddy I am off prednisone and currently on Mycophenolate. I was on prednisone for 3 months, and brain MRI after stopping prednisone showed no evidence of inflammation. They discussed IV chemotherapy, but my insurance denied it. Would that be a better treatment?

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Profile picture for Becky, Volunteer Mentor @becsbuddy

@ebjj4health I have not heard of sternum and scapular. So you are off prednisone? Maybe you were taken off too soon, did the doctors ever order an MRI? This is important because no one can see clippers, only the effects of it. Ask the doctor about doing an MRI (I think it’s standard protocol). An MRI lets the doctor see where the lesions were/are. Please get back to us and tell what the new MRI shows!

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I am off prednisone and on Mycophenolate. I was on prednisone for 3 months, and brain MRI after stopping prednisone showed no evidence of inflammation. They discussed IV chemotherapy, but my insurance denied it. Would that be a better treatment?

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Profile picture for ebjj4health @ebjj4health

@becsbuddy I am off prednisone and currently on Mycophenolate. I was on prednisone for 3 months, and brain MRI after stopping prednisone showed no evidence of inflammation. They discussed IV chemotherapy, but my insurance denied it. Would that be a better treatment?

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@ebjj4health Chemotherapy can be very difficult on the body and may not work for the lesions. But, if you and your doctor want to pursue the chemo, then the doc can fight the insurance company .
Are you back to your normal life, yet? Try to do as much as you are able!

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Profile picture for Becky, Volunteer Mentor @becsbuddy

@ebjj4health Chemotherapy can be very difficult on the body and may not work for the lesions. But, if you and your doctor want to pursue the chemo, then the doc can fight the insurance company .
Are you back to your normal life, yet? Try to do as much as you are able!

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@becsbuddy I am not back at all to normal lifestyle. I felt fine until 3 weeks after being on prednisone. At that point I started having back pain which has progressed to sternum pain, abdominal swelling and pain, all of which is worse at night with night sweats. I have had lots of testing and nothing else shows up. I did have a positive TB test at the time Clippers was diagnosed but told it was Laten. ID wanted a second test but I had already started steroids and that test was negative. I either ran or walked almost everyday prior to Clippers, it is a struggle to just walk. I don’t sleep well due to the pain and sweats at night.

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