Myelitis complicating systemic lupus erythematosus: successfully treated with corticosteroids and cyclophosphamide.
Systemic lupus erythematosus (SLE), a multisystem autoimmune disease with protean manifestations, occurs with neuropsychiatric manifestations in </=60% of patients. Myelitis is a rare but serious complication of SLE. The diagnosis of myelitis may be difficult, but magnetic resonance imaging is generally very useful in assessing the extension and severity of lupus-related myelitis. We present the case of a 22-year-old woman with SLE since age 18 who presented with bilateral leg paresis of 7 days' duration.
Ammouri
Wafa
W
Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morocco. wafaammouri@hotmail.com
Mezalek
Zoubida Tazi
ZT
Harmouche
Hicham
H
Aouni
Mohammed
M
Adnaoui
Mohammed
M
Maaouni
Abdelaaziz
A
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D018501:Antirheumatic Agents / Q000627:therapeutic use*; D003520:Cyclophosphamide / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009188:Myelitis, Transverse / Q000150:complications* / Q000188:drug therapy*; D055815:Young Adult
D000305:Adrenal Cortex Hormones; D018501:Antirheumatic Agents; D003520:Cyclophosphamide