Ariizumi Yuko, Ozawa Tetsutaro, Tokutake Takayoshi, Kawachi Izumi, Hirose Masaki, Katada Shinichi, Igarashi Shuichi, Tanaka Keiko, Nishizawa Masatoyo
Department of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, Japan.
Case Rep Neurol Med. 2012;2012:317082. doi: 10.1155/2012/317082. Epub 2012 Feb 13.
The case of an elderly patient who had chorea as an initial symptom of systemic lupus erythematosus (SLE) accompanied by antiphospholipid syndrome (APS) is reported. A 68-year-old woman suddenly developed chorea of her left arm and leg. Magnetic resonance imaging (MRI) of the brain demonstrated a focal lesion in the right caudate head, which showed hyperintensity on fluid-attenuated inversion recovery and diffusion-weighted imaging. This condition was thought to be a common form of vascular chorea, which is likely to occur in elderly individuals; however, the laboratory data of this patient finally fulfilled the diagnostic criteria of SLE and APS. Physicians should be careful in diagnosing elderly individuals simply as having a vascular chorea because this symptom can be the initial manifestation of SLE or APS.
报告了一例老年患者，其以舞蹈症为系统性红斑狼疮（SLE）的初始症状，并伴有抗磷脂综合征（APS）。一名68岁女性突然出现左上肢和下肢舞蹈症。脑部磁共振成像（MRI）显示右侧尾状核头部有局灶性病变，在液体衰减反转恢复序列和扩散加权成像上呈高信号。这种情况被认为是血管性舞蹈症的常见形式，可能发生在老年人中；然而，该患者的实验室检查结果最终符合SLE和APS的诊断标准。医生在诊断老年人单纯患有血管性舞蹈症时应谨慎，因为这种症状可能是SLE或APS的初始表现。
