title: Multisystem involvement in neuromyelitis optica.
abstract: We describe a case of pediatric neuromyelitis optica (NMO) with muscle and lung involvement in addition to central nervous system disease. Our patient initially presented with features of area postrema syndrome, then subsequently with optic neuritis. The patient also had recurrent hyperCKemia that responded to corticosteroids. Finally, axillary and hilar adenopathy with pulmonary consolidation were noted as well and responded to immunomodulation. Our case highlights multisystem involvement in NMO including non-infectious pulmonary findings which have not been described in the pediatric population previously.
authors.affiliation: Division of Neurology, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
authors.forename: Megan M
authors.initials: MM
authors.lastname: Langille
authors.affiliation: Division of Neurology, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
authors.forename: Jay
authors.initials: J
authors.lastname: Desai
keywords: Adenopathy; NMO; hyperCKemia; lung consolidation; neuromyelitis optica