title: [Transverse myelitis and systemic lupus erythematosus. A case report].
abstract: This study presents the case of a 32 year-old patient carrying a belatedly diagnosed systemic lupus erythematosus (SLE), who suddenly developed transverse myelitis. This complication had been preceded a few hours earlier by a sole neurological disorder consisting in a universal nystagmus. This neurological condition was accompanied by a renal syndrome revealed by a nephritic sediment with scarce functional repercussions. The patient was treated with a combination of high doses of methylprednisone and cyclophosphamide. The central neurological and renal disorder remitted, but it was impossible to reverse the patient's paraplegia, which became permanent. This paper includes a review of the 46 cases of transverse myelitis and SLE published so far with regard to diagnosis, treatment and results, a comparison with the case under study, and the conclusions drawn.
authors.affiliation: División Clínica Médica, Hospital Juan A. Fernández, Buenos Aires, Argentina.
authors.forename: A
authors.initials: A
authors.lastname: Aillievi
authors.forename: N
authors.initials: N
authors.lastname: Tangari
authors.forename: H
authors.initials: H
authors.lastname: Ferro
authors.forename: A
authors.initials: A
authors.lastname: Cámera
mesh_terms: D000328:Adult; D003520:Cyclophosphamide / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D009188:Myelitis, Transverse / Q000188:drug therapy / Q000209:etiology*; D011241:Prednisone / Q000627:therapeutic use
chemical_list: D003520:Cyclophosphamide; D011241:Prednisone
vernacular_title: Mielitis transversa y lupus eritematoso sistémico. Presentación de un caso.