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MR Vol.11 No.2 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.2 |
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Guillain-Barre syndrome accompanied by central
nervous system lupus in a patient with juvenile rheumatoid arthritis |
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| H. Nakajima1, K. Higami1, H. Yamanaka1,
K. Takagi1, M. Uesato1, Y. Kurohori1, M. Harigai1, C. Terai1, M.
Hara1, N. Kamatani1 |
| (1)Institute of Rheumatology, Tokyo Women's Medical
University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan |
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| Abstract |
| Abstract We describe a 17-year-old female with
juvenile rheumatoid arthritis accompanied by Guillain-Barre syndrome
(GBS) during the course of central nervous system (CNS) lupus. She
initially developed CNS lupus, including headache and convulsion.
A high-signal area in a magnetic resonance scan of her brain with
T2-weighted images was noted, and her cerebrospinal fluid exhibited
increased levels of IgG and interleukin-6. Eighteen days after the
onset of CNS lupus, polyneuropathy in the lower extremities developed,
and a diagnosis of GBS was made. No obvious preceding infections
in the upper respiratory or gastrointestinal systems were noted before
the onset of GBS, indicating that GBS might be part of the symptoms
of CNS lupus. |
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| Key words |
| Key words Autoimmune ・ Central nervous system
lupus ・ Guillain-Barre syndrome ・ Magnetic resonance image |
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