Systemic Lupus Erythematosus With Acute Inflammatory Demyelinating Polyneuropathy: A Case Report and Review of the Literature.
Date
2016Author
Yanqiang, Wang
Xiangling, Li
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
We recently managed a case of
acute infl ammatory demyelinating
polyneuropathy associated with SLE. A
20-year-old newly diagnosed SLE patient
presented with a three-week history
of acute bilateral ascending weakness
associated with inability to walk. Physical
examination revealed muscle strength
in the legs with graded 2/5 proximally
and 2/5 distally bilaterally and absence
of deep tendon refl ex in both knees and
ankles. The muscle strength in upper
limb was 3/5 proximally and 3/5 distally
bilaterally. Paresthesia was observed
in distal limbs with glove and stocking
distribution. Cerebrospinal fl uid analysis
was normal. Electrophysiologic survey
indicated asymmetrical mixed sensory
motor demyelination and radiculopathy.
The diagnosis of SLE was established
based on her initial symptoms including
fevers, fatigue, malar rash, myalgia, and
positive ANA. Treatment with intravenous
immunoglobulin and methylprednisolone
resulted in clinical improvement.
URI
http://aflar.net/wp-content/uploads/2018/01/AJR_6_2018_January.pdf#page=19https://www.ncbi.nlm.nih.gov/pubmed/27298667
http://erepository.uonbi.ac.ke/handle/11295/107118
Citation
Genga, E. K., et al. "Systemic lupus erythematosus with acute inflammatory demyelinating polyneuropathy: a case report." African Journal of Rheumatology 6.1 (2018): 15-17.Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10378]
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