A case of systemic lupus erythematosus--its clinical and MRI resemblance to multiple sclerosis.
We documented a case of systemic lupus erythematosus with clinical features of multiple sclerosis who developed transverse myelopathy. Magnetic resonance imaging showed the presence of an abnormal high signal intensity in the gray matter of a swollen spinal cord corresponding to the patient's neurological deficits. After two previous episodes of exacerbation and remission consistent with the clinical diagnosis of multiple sclerosis, right hemiparesis and hemisensory disturbances ensued, then lupus nephritis was confirmed by a renal biopsy.
Moriwaka
F
F
Department of Neurology, Hokkaido University School of Medicine, Sapporo.
Tashiro
K
K
Fukazawa
T
T
Akino
M
M
Yasuda
I
I
Sagawa
A
A
Hida
K
K
D000974:Antibodies, Antinuclear / Q000032:analysis; D001921:Brain / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000175:diagnosis*; D013116:Spinal Cord / Q000473:pathology*
D000974:Antibodies, Antinuclear