Case Report

The Journal of the Korean Rheumatism Association 2009; 16(3): 243-247

Published online September 30, 2009

© Korean College of Rheumatology

전신홍반루푸스에서 발생한 만성 염증성 수초탈락성 다발성 신경병증

문기원ㆍ송영욱ㆍ송란ㆍ윤찬영ㆍ고재기ㆍ김진현ㆍ이은영ㆍ이은봉

서울대학교 의과대학 내과학교실

A Case of Chronic Inflammatory Demyelinating Polyneuropathy in a Patient with Systemic Lupus Erythematosus

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

Abstract

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

Article

Case Report

The Journal of the Korean Rheumatism Association 2009; 16(3): 243-247

Published online September 30, 2009

Copyright © Korean College of Rheumatology.

전신홍반루푸스에서 발생한 만성 염증성 수초탈락성 다발성 신경병증

문기원ㆍ송영욱ㆍ송란ㆍ윤찬영ㆍ고재기ㆍ김진현ㆍ이은영ㆍ이은봉

서울대학교 의과대학 내과학교실

A Case of Chronic Inflammatory Demyelinating Polyneuropathy in a Patient with Systemic Lupus Erythematosus

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

Abstract

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

JRD
Jan 01, 2025 Vol.32 No.1, pp. 1~7
COVER PICTURE
Cumulative growth of rheumatology members and specialists (1980~2024). Cumulative distribution of the number of the (A) Korean College of Rheumatology members and (B) rheumatology specialists. (J Rheum Dis 2025;32:63-65)

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