The Journal of the Korean Rheumatism Association 2009; 16(3): 243-247
Published online September 30, 2009
© Korean College of Rheumatology
문기원ㆍ송영욱ㆍ송란ㆍ윤찬영ㆍ고재기ㆍ김진현ㆍ이은영ㆍ이은봉
서울대학교 의과대학 내과학교실
Correspondence to : Yeong Wook Song
Chronic inflammatory demyelinating polyneuropathy (CIDP) is characterized by symmetrical weakness, impaired sensation, absent or diminished tendon reflexes, an elevated cerebrospinal fluid protein level and nerve-conduction studies that show demyelination. The occurrence of CIDP in patients with systemic lupus erythematosus (SLE) has been rarely reported. We experienced a case of a 33 year-old woman with SLE and she presented with fever, abdominal pain, a tingling sensation of both of her hands and feet, and symmetrical weakness in both the proximal and distal extremities. Her symptoms had persisted for over 1 months before she visited our department. The CSF examination showed an elevated protein level and the nerve conduction studies revealed demyelination. Her symptoms showed minimal improvement with high dose steroid and immunoglobulin therapy, but she responded to cyclophosphamide therapy.
Keywords Chronic inflammatory demyelinating polyneuropathy, Systemic lupus erythematosus
The Journal of the Korean Rheumatism Association 2009; 16(3): 243-247
Published online September 30, 2009
Copyright © Korean College of Rheumatology.
문기원ㆍ송영욱ㆍ송란ㆍ윤찬영ㆍ고재기ㆍ김진현ㆍ이은영ㆍ이은봉
서울대학교 의과대학 내과학교실
Ki Won Moon, Yeong Wook Song, Ran Song, Chan Young Yun, Jae Ki Koh, Jin Hyun Kim, Eun Young Lee, Eun Bong Lee
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
Correspondence to:Yeong Wook Song
Chronic inflammatory demyelinating polyneuropathy (CIDP) is characterized by symmetrical weakness, impaired sensation, absent or diminished tendon reflexes, an elevated cerebrospinal fluid protein level and nerve-conduction studies that show demyelination. The occurrence of CIDP in patients with systemic lupus erythematosus (SLE) has been rarely reported. We experienced a case of a 33 year-old woman with SLE and she presented with fever, abdominal pain, a tingling sensation of both of her hands and feet, and symmetrical weakness in both the proximal and distal extremities. Her symptoms had persisted for over 1 months before she visited our department. The CSF examination showed an elevated protein level and the nerve conduction studies revealed demyelination. Her symptoms showed minimal improvement with high dose steroid and immunoglobulin therapy, but she responded to cyclophosphamide therapy.
Keywords: Chronic inflammatory demyelinating polyneuropathy, Systemic lupus erythematosus
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