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Ann Clin Neurophysiol > Volume 9(1); 2007 > Article
Ann Clin Neurophysiol. 2007; 9(1): 29-32.
[Case Report] A Case of Systemic Lupus Erythematosus with Recurrent Transverse Myelitis
Jun-Hwan Lee, Ki-Jong Park, Sang-Il Lee, Oh-Young Kwon, Heeyoung Kang, Jong-Su Kang, Eu-Jung Park, Nack-Cheon Choi, and Byeong Hoon Lim
Copyright © 2007 The Korean Society of Clinical Neurophysiology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Recurrent transverse myelitis is a rare manifestation of systemic lupus erythematosus. Recurrent transverse myelitis presents the biggest diagnostic problem, since it is common manifestation of multiple sclerosis. But it can also be the only feature or first manifestation in systemic lupus erythematosus. Neurological manifestations and magnetic resonanceimaging can be indistinguishable, and there are no specific diagnostic tools. Here we describe a 59-year-old female having a systemic lupus erythematosus with recurrent transverse myeltitis. No uniform therapeutic protocol exists for systemic lupus erythematous with transverse myelitis, and the prognosis is usually poor. We suggest that aggressivetreatment (usually with pulses of methylprednisolone and cyclophosphamide) might improve the prognosis of systemic lupus erythematosus with transverse myeltis.
Key words: Transverse myelitis, Systemic lupus erythematosus, Multiple sclerosis
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