A case of neuropsychiatric lupus with myelopathy successfully treated with corticosteroids.
This report describes a 16-year old female patient who presented with acute paresis in both lower limbs, acute urinary retention, blurred vision and arthritis. The patient was diagnosed as having systemic lupus erythematosus with myelitis and bilateral abducent nerves palsy. The administration of steroids resulted in marked improvement in her neurological symptoms.
Salmi
Homeed H
HH
Departments of Internal Medicine, Assir Central Hospital, Abha, Saudi Arabia.
Shalaby
Medhat A F
MA
Ageely
Hussein M
HM
Moustafa
Fayza
F
D020434:Abducens Nerve Diseases / Q000209:etiology; D000208:Acute Disease; D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001168:Arthritis / Q000209:etiology; D004576:Electromyography; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D020945:Lupus Vasculitis, Central Nervous System / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use*; D009431:Neural Conduction; D010291:Paresis / Q000209:etiology; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D016896:Treatment Outcome; D016055:Urinary Retention / Q000209:etiology; D014786:Vision Disorders / Q000209:etiology
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D008775:Methylprednisolone