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Longitudinal myelitis as an initial manifestation of systemic lupus erythematosus.
- Source :
-
The American journal of the medical sciences [Am J Med Sci] 2004 Feb; Vol. 327 (2), pp. 105-8. - Publication Year :
- 2004
-
Abstract
- Transverse myelitis is a rare and serious complication of systemic lupus erythematosus (SLE). A longitudinal involvement of the spinal cord with lupus-related transverse myelitis is more unusual. Only 7 cases have been reported. We describe a 53-year-old woman presenting with short-term paraplegia as an initial manifestation of SLE with longitudinal myelitis. She had a partial response to treatment with pulse cyclophosphamide and high-dose corticosteroids after follow-up more than 2 years. To the best of our knowledge, this is the first case report of "longitudinal" myelitis as an initial presentation of SLE. Magnetic resonance imaging typically shows increased signal intensity in T2-weighted images, cord swelling, and contrast enhancement over several spinal segments. The possibility of SLE should be kept in mind in women presenting with paraplegia with no apparent cause.
Details
- Language :
- English
- ISSN :
- 0002-9629
- Volume :
- 327
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The American journal of the medical sciences
- Publication Type :
- Academic Journal
- Accession number :
- 14770030
- Full Text :
- https://doi.org/10.1097/00000441-200402000-00011