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系统性红斑狼疮并发脊髓炎:经皮质类固醇和环磷酰胺成功治疗。

Myelitis complicating systemic lupus erythematosus: successfully treated with corticosteroids and cyclophosphamide.

作者信息

Ammouri Wafa, Mezalek Zoubida Tazi, Harmouche Hicham, Aouni Mohammed, Adnaoui Mohammed, Maaouni Abdelaaziz

机构信息

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morocco.

出版信息

South Med J. 2009 Jul;102(7):744-5. doi: 10.1097/SMJ.0b013e3181a82a46.

DOI:10.1097/SMJ.0b013e3181a82a46
PMID:19488014
Abstract

Systemic lupus erythematosus (SLE), a multisystem autoimmune disease with protean manifestations, occurs with neuropsychiatric manifestations in </=60% of patients. Myelitis is a rare but serious complication of SLE. The diagnosis of myelitis may be difficult, but magnetic resonance imaging is generally very useful in assessing the extension and severity of lupus-related myelitis. We present the case of a 22-year-old woman with SLE since age 18 who presented with bilateral leg paresis of 7 days' duration.

摘要

系统性红斑狼疮(SLE)是一种具有多种表现的多系统自身免疫性疾病,60%及以下的患者会出现神经精神症状。脊髓炎是SLE罕见但严重的并发症。脊髓炎的诊断可能困难,但磁共振成像通常对评估狼疮相关脊髓炎的范围和严重程度非常有用。我们报告一例自18岁起患有SLE的22岁女性病例,该患者出现了持续7天的双侧腿部无力症状。

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