전신성 홍반성 루프스에 동반된 횡단선 척수염 1례
- 김상현; 박재호; 임정근
- Alternative Author(s)
- Kim, Sang Hyon; Park, Jae Ho; Lim, Jeong Geun
- Publication Year
- Systemic lupus
erythematosus; Transverse myelitis
- Systemic lupus erythematosus (SLE) is an autoimmune disease
associated with variable symptoms in many organs. Involvement of central nervous
system in SLE is a relatively common complication. However, transverse
myelitis is a rare and late complication of SLE and its prognosis is very poor,
resulting in death or severe neurologic sequelae. We report a case of transverse
myelitis who was diagnosed as SLE before the onset of neurologic symptoms.
Transverse myelitis was diagnosed, based on the clinical presentation and MRI
findings. This patient indicated that transverse myelitis could be a relatively early
manifestation of SLE. We treated the patient with pulse methyprednisolone followed
by cyclophosphamide, However, the treatment did not improve clinical condition
of the patient.
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