Aslam Fawad, Bannout Firas, Russell Elizabeth B
Division of Rheumatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA ; Division of Rheumatology, Department of Internal Medicine, John L. McClellan Memorial Veterans Hospital, Little Rock, AR 72205, USA.
Case Rep Rheumatol. 2013;2013:175261. doi: 10.1155/2013/175261. Epub 2013 Jan 22.
Cranial palsies are a very rare feature of SLE. Similarly, peripheral sensory-motor axonal neuropathy is very uncommon in SLE. The combination of the two as the presenting symptoms of SLE is a diagnostic challenge particularly in an elderly male patient with a known diagnosis of sarcoidosis. This case serves to highlight the diagnostic considerations in such a patient. The lack of response to standard therapy and the presence of subtle clues like anemia, proteinuria, and mild serositis should prompt the physician to look for alternate diagnoses. The potential association of SLE and sarcoidosis is also discussed. SLE can be present in elderly male patients with cranial and peripheral neuropathy.
颅神经麻痹是系统性红斑狼疮（SLE）非常罕见的特征。同样，周围感觉运动轴索性神经病在SLE中也非常少见。二者合并作为SLE的首发症状是一项诊断挑战，尤其对于一名已确诊结节病的老年男性患者。本病例旨在强调对此类患者的诊断考量。对标准治疗无反应以及存在如贫血、蛋白尿和轻度浆膜炎等细微线索，应促使医生寻找其他诊断。还讨论了SLE与结节病的潜在关联。SLE可出现在患有颅神经和周围神经病变的老年男性患者中。
