Longitudinal Myelitis As The First Manifestation of Systemic Lupus Erythematosus
Articles > Article · 2009
Authors: Neşe ÇELEBİSOY, Feray GULEC, Adem BAYRAKCI, Figen YARGUCU ZİHNİ
JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH, Journal Indexed in SCI Expanded, International, 2009, vol 26, pp 492-494
Summary
Acute longitudinal myelitis (ALM) as the initial manifestation of systemic lupus erythematosus (SLE) has been reported in just two cases. We herein present the third case associated with antiphospholipid antibodies with an unfavorable outcome. All patients with ALM should be tested for SLE and urgent treatment with intravenous pulse methylprednisolone and cyclophosphamide must be started. Alternative treatment trials must also be established as there are patients with permanent neurologic disability like ours despite appropriate therapy.