J Rheum Dis 2014; 21(3): 143-146
Published online June 30, 2014
© Korean College of Rheumatology
이정원ㆍ강지현ㆍ홍형주ㆍ주선미ㆍ이경은ㆍ온리휘ㆍ박동진ㆍ김태종ㆍ박용욱ㆍ이신석
전남대학교 의과대학 류마티스내과학교실
Correspondence to : Shin-Seok Lee
Neuropsychiatric manifestations in patients with systemic lupus erythematosus are fairly common, with a prevalence of 37∼95%. Among 19 neuropsychiatric manifestations, acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is quite rare, and is characterized by progressive, symmetric muscle weakness accompanied by absent or de-pressed deep tendon reflexes. Generally, plasma exchange and intravenous immunoglobulin are the main treatment modalities. Here, we report a case of AIDP in a 29-year-old SLE patient, who was fully recovered with a treatment of high-dose glucocorticoid and immunosuppressive agents. Ours case suggests that AIDP should be treated differently in SLE patients to avoid disastrous results.
Keywords Systemic lupus erythematosus, Central nervous system, Polyradiculoneuropathy
J Rheum Dis 2014; 21(3): 143-146
Published online June 30, 2014
Copyright © Korean College of Rheumatology.
이정원ㆍ강지현ㆍ홍형주ㆍ주선미ㆍ이경은ㆍ온리휘ㆍ박동진ㆍ김태종ㆍ박용욱ㆍ이신석
전남대학교 의과대학 류마티스내과학교실
Jeong-Won Lee, Ji-Hyoun Kang, Hyoung-Ju Hong, Sun-Mi Ju, Kyung-Eun Lee, Lihui Wen, Dong-Jin Park, Tae-Jong Kim, Yong-Wook Park, Shin-Seok Lee
Department of Rheumatology, Chonnam National University Medical School, Gwangju, Korea
Correspondence to:Shin-Seok Lee
Neuropsychiatric manifestations in patients with systemic lupus erythematosus are fairly common, with a prevalence of 37∼95%. Among 19 neuropsychiatric manifestations, acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is quite rare, and is characterized by progressive, symmetric muscle weakness accompanied by absent or de-pressed deep tendon reflexes. Generally, plasma exchange and intravenous immunoglobulin are the main treatment modalities. Here, we report a case of AIDP in a 29-year-old SLE patient, who was fully recovered with a treatment of high-dose glucocorticoid and immunosuppressive agents. Ours case suggests that AIDP should be treated differently in SLE patients to avoid disastrous results.
Keywords: Systemic lupus erythematosus, Central nervous system, Polyradiculoneuropathy
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