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A 78-year-old male patient in whom RBD was first diagnosed was followed-up by clinical examination, video-polysomnography, multiple sleep latency test, cerebral magnetic resonance imaging, and dopamine transporter imaging by single-photon emission computerized tomography. The patient was found to present for almost two decades, in addition to RBD, also narcolepsy. Moreover, a late development of parkinsonism and the occurrence of rheumatoid arthritis were detected and clinically and instrumentally characterized. Patients predisposed to RBD and later parkinsonism might be susceptible to a variety of triggers that, in our patient, might have been represented by a possible latent autoimmune process leading to the development of narcolepsy with cataplexy and rheumatoid arthritis, later.<\/jats:p>","DOI":"10.1155\/2014\/572931","type":"journal-article","created":{"date-parts":[[2014,2,18]],"date-time":"2014-02-18T16:03:04Z","timestamp":1392739384000},"page":"1-6","source":"Crossref","is-referenced-by-count":4,"title":["A Case of REM Sleep Behavior Disorder, Narcolepsy-Cataplexy, Parkinsonism, and Rheumatoid Arthritis"],"prefix":"10.1155","volume":"2014","author":[{"given":"Filomena I. I.","family":"Cosentino","sequence":"first","affiliation":[{"name":"Department of Neurology I.C., Sleep Research Centre, Oasi Institute for Research on Mental Retardation and Brain Aging (IRCCS), Via C. 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