Anterior spinal artery syndrome in systemic lupus erythematosus.
We present a patient with systemic lupus erythematosus who developed an anterior spinal artery syndrome (ASAS) in association with livedo reticularis, leg ulcerations and thrombocytopenia. Low serum titres of anticardiolipin antibodies were detectable throughout the course of this disease. The patient recovered from the first episode of ASAS under corticosteroid treatment but remained paralytic after a second episode. Repeated magnetic resonance imaging of the spinal cord failed to show altered signal intensity.
Markusse
H M
HM
Department of Rheumatology, University Hospital Leiden.
Haan
J
J
Tan
W D
WD
Breedveld
F C
FC
D000293:Adolescent; D001158:Arteries; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008727:Methotrexate / Q000627:therapeutic use; D010243:Paralysis / Q000209:etiology; D010259:Paranoid Disorders / Q000209:etiology; D013116:Spinal Cord / Q000098:blood supply*; D013577:Syndrome; D014555:Urination Disorders / Q000209:etiology; D014652:Vascular Diseases / Q000150:complications / Q000175:diagnosis
D008727:Methotrexate