title: Concomitant Guillain Barre Syndrome and Transverse Myelitis as Initial Neuropsychiatric Manifestation in a Case of Lupus: A Diagnostic Quandary.
abstract: Neuropsychiatric manifestations of systemic lupus erythematosus are varied. Presently nineteen in number, they are classified as whether affecting the central or the peripheral compartments of the nervous system. Its diagnosis however remains difficult, more so when two or more of the syndromes are found concomitantly in the same patient and when they occur in absence of the more classical rash, serositis, and haematological manifestations. We present a case of lupus where myelopathy as well as demyelination existed simultaneously as the initial neurologic manifestation.
authors.affiliation: Department of Medicine, PGIMER and Dr. RML Hospital, New Delhi 110001, India.
authors.forename: Anshuman
authors.identifier: 0000-0001-6963-3082
authors.initials: A
authors.lastname: Srivastava
authors.affiliation: Rheumatology Clinic, Department of Medicine, PGIMER and Dr. RML Hospital, New Delhi 110001, India.
authors.forename: Bijit Kumar
authors.identifier: 0000-0001-6366-5948
authors.initials: BK
authors.lastname: Kundu
authors.affiliation: Department of Medicine, PGIMER and Dr. RML Hospital, New Delhi 110001, India.
authors.forename: Diwakar Kumar
authors.initials: DK
authors.lastname: Singh