Kalinova Desislava, Rashkov Rasho
Clinic of Rheumatology, UMHAT St. Ivan Rilski University Hospital, Sofia, Bulgaria.
Reumatologia. 2019;57(2):120-122. doi: 10.5114/reum.2019.84819. Epub 2019 Apr 29.
Transverse myelitis is one of the causes of acute transverse myelopathy; three main categories are described in the differential diagnosis of transverse myelitis: demyelination (multiple sclerosis, neuromyelitis optica), infections (herpes zoster and herpes simplex virus), and some autoimmune connective tissue disorders (systemic lupus erythematosus, vasculitis). The authors present a clinical case of a 33-year-old patient with transverse myelitis occurring in the course of acute inflammatory demyelinating polyradiculoneuropathy (Guillain-Barré syndrome). The patient's medical history was notable. The patient was diagnosed with thrombotic thrombocytopenic purpura (Moschcowitz syndrome) and leukocytoclastic vasculitis when he was 12 years old.
横贯性脊髓炎是急性横贯性脊髓病的病因之一;横贯性脊髓炎的鉴别诊断主要分为三类:脱髓鞘疾病(多发性硬化症、视神经脊髓炎)、感染(带状疱疹和单纯疱疹病毒)以及一些自身免疫性结缔组织病(系统性红斑狼疮、血管炎)。作者介绍了一例33岁患者的临床病例,该患者在急性炎症性脱髓鞘性多发性神经根神经病(吉兰-巴雷综合征)病程中发生了横贯性脊髓炎。该患者的病史值得关注。该患者12岁时被诊断为血栓性血小板减少性紫癜(Moschcowitz综合征)和白细胞破碎性血管炎。