| CASE REPORT A case of systemic lupus erythematosus presenting transverse myelitis after an episode of meningitis
Toru Yago1 , Mutsuto Tateishi1, Naomi Ichikawa1, Takefumi Furuya1, Tadashi Sakurai1, Hiroshi Nakajima1, Masako Hara1 and Naoyuki Kamatani1
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Institute of Rheumatology, Tokyo Women's Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan |
Received: 24 November 2004 Accepted: 06 July 2005
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Abstract A 27-year-old woman suffering from systemic lupus erythematosus was admitted because she had motor and sensory palsy of the lower extremities, neck stiffness, and a fever. Cerebrospinal fluid study indicated meningitis, and magnetic resonance imaging revealed cord swelling and high signals at Th9 Th12 levels. Antibiotics treatment led to resolution of the meningeal signs. Intravenous cyclophosphamide and prednisolone resulted in a partial recovery from the transverse myelitis neurological disturbance.
Key words Intravenous cyclophosphamide (IVCY) - Systemic lupus erythematosus (SLE) - Transverse myelitis (TM)
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