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.

@vagondeck87

What genetic testing do you have scheduled?

I'm wondering if that is something I should talk to my doctors about having that done as well.

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Genetic testing for gene mutations. Definitely get isolated cns and hlh gene checked. Facebook has a clippers support group if you also have this

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I'll join it. Thanks for the info. I don't have CLIPPERS, but I have SLIPPERS. It's treated similarly, but much more rare. There's still debate over whether or not there's enough prevalence/ information to call it a disease.

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@vagondeck87

I'll join it. Thanks for the info. I don't have CLIPPERS, but I have SLIPPERS. It's treated similarly, but much more rare. There's still debate over whether or not there's enough prevalence/ information to call it a disease.

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Did you get mri or spinal tap?

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Both plus a brain biopsy, PET Scan... Innumerable MRIs

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What is the long term treatment for Cippers?

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@marilyncarkner

What is the long term treatment for Cippers?

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@marilyncarkner I’m glad you asked! I don’t think anyone in this group has gotten the point of long-term treatment. I think it will be IV rituxan infusions twice a year. I’ve had 1 infusion and am doing great on it and 1mg prednisone and 760 mg of mycophenelate ( acts similar to prednisone but without the serious side effects. I hope to be off prednisone by end of December. So, if I can do well on Mycophenolate and rituxan, I’ll be happy and consider myself in remission.

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@vagondeck87

I've been looking for answers since the end of May when I suddenly became dysphasiac. Doctors have conducted numerous tests including a brain biopsy, and finally today, I've been diagnosed with SLIPPERS. It's similar to CLIPPERS, but somehow even more rare. There are around 5 known cases worldwide.

I'm feeling really strange about it. I'm glad to finally have a diagnosis, but there is so little know about the disease that ot honestly doesn't feel much like putting a name to it gets me very far.

There's so much unknown still.

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@vagondeck87 Welcome to Mayo Clinic Connect! I’m so glad you found this group. Did your doctors have any information about what the ‘S’ means? I think we’d all like to know! We started as a very small group but, unfortunately, we keep growing. But, we help each other through this great unknown!

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SLIPPERS was first coined in 2015 and since then there have only been a handful of cases written about in the medical literature, with 2 of the cases having been written about twice. It's much rather than CLIPPERS, but it is likely that there are more we just don't know about, but the current numbers are literally like in the single or low double digits.

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