Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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A Case of Systemic Lupus Erythematosus with Recurrent Transverse Myelitis

재발횡단척수염과 동반한 전신홍반루푸스 1예

  • Lee, Jun-Hwan (Department of Neurology, Gyeongsang National University School of Medicine) ;
  • Park, Ki-Jong (Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Lee, Sang-Il (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kwon, Oh-Young (Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Kang, Heeyoung (Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Kang, Jong-Su (Department of Neurology, Gyeongsang National University School of Medicine) ;
  • Park, Eu-Jung (Department of Neurology, Gyeongsang National University School of Medicine) ;
  • Choi, Nack-Cheon (Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Lim, Byeong Hoon (Gyeongsang Institute of Health Science, Gyeongsang National University)
  • 이준환 (경상대학교 의학전문대학원 신경과학교실) ;
  • 박기종 (경상대학교 건강과학연구원) ;
  • 이상일 (경상대학교 의학전문대학원 내과학교실) ;
  • 권오영 (경상대학교 건강과학연구원) ;
  • 강희영 (경상대학교 건강과학연구원) ;
  • 강종수 (경상대학교 의학전문대학원 신경과학교실) ;
  • 박의정 (경상대학교 의학전문대학원 신경과학교실) ;
  • 최낙천 (경상대학교 건강과학연구원) ;
  • 임병훈 (경상대학교 건강과학연구원)
  • Published : 2007.06.30
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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 resonance imaging 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 aggressive treatment (usually with pulses of methylprednisolone and cyclophosphamide) might improve the prognosis of systemic lupus erythematosus with transverse myeltis.

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