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- Title
Central nervous system lupus presenting as rhombencephalitis responding to aggressive immunotherapy: A unique case.
- Authors
Kaur, Harleen; Mittal, Gaurav K.; Singhdev, Jennifer
- Abstract
Background: Systemic lupus erythematosus (SLE) is the prototypic autoimmune connective tissue disorder (CTD) usually affecting young females. Central nervous system lupus is a serious complication encountered in SLE cases. Predominant involvement of rhombencephalon in patients of SLE at the first contact with health care professional has not been seen and described frequently in the literature. It still remains a diagnostic and therapeutic challenge. Case presentation: This paper describes a case of SLE in an adolescent female who was diagnosed as having rhombencephalitis, which is a rare presentation of SLE. Conclusions: Central nervous system lupus should be included in the provisional diagnosis of any young female patient presenting with complicated neurologic manifestations over the background of joint pain or fever or headache or confusion or psychosis, to avoid misdiagnosis and aid in timely institution of aggressive immunotherapy.
- Subjects
CENTRAL nervous system; MEDICAL personnel; SYSTEMIC lupus erythematosus; IMMUNOTHERAPY; LUPUS nephritis; TEENAGE girls
- Publication
Clinical & Experimental Neuroimmunology, 2020, Vol 11, Issue 3, p176
- ISSN
1759-1961
- Publication type
Article
- DOI
10.1111/cen3.12592