Association of neuromyelitis optic (NMO) with autoimmune disorders: report of two cases and review of the literature.
We present two patients with neuromyelitis optica (NMO; Devic's syndrome), one associated with systemic lupus erythematosus and the other with Hashimoto thyroiditis. Devic's syndrome, whose initial symptoms and signs mimic those of multiple sclerosis, can be associated with other autoimmune diseases. We emphasize the importance of ruling out other entities throughout the follow-up. NMO is seldom described in patients with lupus, which may be due to the rare occurrence of this association sometimes leading to its misdiagnosis.
Rheumatology Section, Hospital Cullen, Tucumán 3080-3000, Santa Fé, Argentina. pairasergio@fibertel.com.ar
Paira
P
Sergio
Benegas
B
Mariana
Ortiz
O
Alberto
Uña
U
Claudia
Rillo
R
Oscar
Mannucci
M
Pablo
Allievi
A
Alberto
D000293:Adolescent; D000328:Adult; D001327:Autoimmune Diseases / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D050031:Hashimoto Disease / Q000150:complications; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D009103:Multiple Sclerosis / Q000175:diagnosis; D009471:Neuromyelitis Optica / Q000150:complications*; D013116:Spinal Cord / Q000473:pathology; D016896:Treatment Outcome