[Acute transverse myelitis in systemic lupus erythematosus].
Acute transverse myelitis as complication of systemic lupus erythematosus is a known and well-characterized although uncommon clinical entity. We report here four cases of lupic myelitis collected at our hospital in the last few years and review the available literature of the last ten years, approximately the time when NMR became generally available. The clinical picture can be very variable and therefore, when facing a picture of acute myelitis, lupus should be included in the differential diagnosis; biochemistry evaluating the lupus "activity" is of poor diagnostic value, nuclear magnetic resonance is not conclusive for the etiologic diagnosis of myelitis and its prognosis has improved with therapy including pulses of steroid and immunosuppressant agents.
Romero Ganuza
F J
FJ
Servicio de Medicina Interna, Hospital Nacional de Parapléjicos, Complejo Hospitalario de Toledo.
Sebastián de la Cruz
F
F
La Banda Brusi
F
F
Mazaira Alvarez
J
J
D000208:Acute Disease; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D009188:Myelitis, Transverse / Q000175:diagnosis / Q000209:etiology*; D012189:Retrospective Studies; D013997:Time Factors
Mielitis transversa aguda en el lupus eritematoso sistémico.