A Case of Acute Inflammatory Demyelinating Polyradiculoneuropathy in a Patient with Systemic Lupus Erythematosus.
10.4078/jrd.2014.21.3.143
- Author:
Jeong Won LEE
1
;
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
Author Information
1. Department of Rheumatology, Chonnam National University Medical School, Gwangju, Korea. shinseok@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Central nervous system;
Polyradiculoneuropathy
- MeSH:
Adult;
Central Nervous System;
Guillain-Barre Syndrome*;
Humans;
Immunoglobulins;
Immunosuppressive Agents;
Lupus Erythematosus, Systemic*;
Muscle Weakness;
Plasma Exchange;
Polyradiculoneuropathy;
Prevalence;
Reflex, Stretch
- From:Journal of Rheumatic Diseases
2014;21(3):143-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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 depressed 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.
