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CASE REPORT |
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Year : 2002 |
Volume
: 13 | Issue : 4 | Page
: 492-497 |
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Transverse Myelitis in a Patient with Severe Lupus Nephritis: A Case Report
Ahmed H Mitwalli, Nawaz Ali Memon, Hassan Abu-Aisha, Jamal S Al-Wakeel, Nauman Tarif, Akram Askar, Durdana Hammad
Department of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia
Correspondence Address:
Ahmed H Mitwalli Department of Medicine (38), King Khalid University Hospital, P.O. Box 2925, Riyadh 11461 Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 17660673 
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We report here a case of severe lupus nephritis, Raynaud's phenomenon, digital gangrene and optic neuritis who, developed acute transverse myelitis (ATM). SLE can present virtually with any complication in the central nervous system (CNS) and ATM is a rare but serious manifestation. It is noteworthy that ATM developed in this patient while she was on intravenous cyclophosphamide (IVC) therapy having already finished six doses of monthly infusions of 10 mg/kg body weight. The patient responded well to methyl-prednisolone pulse therapy, IVC and plasmapheresis. She recovered fully and is doing well after nine months of follow-up. |
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