[Peripheral neuropathy in systemic lupus erythematosus with epineural vasculitis and antiphospholipid antibodies].
Neurological manifestations of systemic lupus erythematosus are frequent and polymorphic. Their frequency varies according to authors (24-75p.cent). Central nervous system complications predominate; peripheral features are rare, classically symmetrical polyneuropathy, multiple mononeuropathies or cranial nerve involvement. We report a case of a 48-year-old woman presenting a histologically documented sensitivo-motor polyneuropathy with severe motor involvement complicating lupus associated with antiphospholipides antibodies. Outcome was good after cyclophosphamid pulse. We discuss the frequency of peripheral involvement in systemic lupus erythematosus, pathogenic mechanisms, therapeutic possibilities and outcome of this complication.
Rafai
M A
MA
Service de Neurologie - Explorations Fonctionnelles, CHU Ibn Rochd, Casablanca, Maroc. mo.mi2@caramail.com
Fadel
H
H
Boulaajaj
F Z
FZ
Gam
I
I
El Moutawakkil
B
B
Karkouri
M
M
Hakim
K
K
Slassi
I
I
D017152:Antibodies, Antiphospholipid / Q000097:blood; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000097:blood / Q000150:complications*; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000097:blood / Q000209:etiology*; D014657:Vasculitis / Q000097:blood / Q000209:etiology*
D017152:Antibodies, Antiphospholipid