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- Title
Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus.
- Authors
Ariizumi, Yuko; Ozawa, Tetsutaro; Tokutake, Takayoshi; Kawachi, Izumi; Hirose, Masaki; Katada, Shinichi; Igarashi, Shuichi; Tanaka, Keiko; Nishizawa, Masatoyo
- Abstract
The case of an elderly patient who had chorea as an initial symptom of systemic lupus erythematosus (SLE) accompanied by antiphospholipid syndrome (APS) is reported. A 68-year-old woman suddenly developed chorea of her left arm and leg. Magnetic resonance imaging (MRI) of the brain demonstrated a focal lesion in the right caudate head, which showed hyperintensity on fluid-attenuated inversion recovery and diffusion-weighted imaging. This condition was thought to be a common form of vascular chorea, which is likely to occur in elderly individuals; however, the laboratory data of this patient finally fulfilled the diagnostic criteria of SLE and APS. Physicians should be careful in diagnosing elderly individuals simply as having a vascular chorea because this symptom can be the initial manifestation of SLE or APS.
- Subjects
CHOREA; SYSTEMIC lupus erythematosus; DISEASES in older people; ANTIPHOSPHOLIPID syndrome; MAGNETIC resonance imaging of the brain; CAUDATE nucleus; DIFFUSION magnetic resonance imaging; DIAGNOSIS
- Publication
Case Reports in Neurological Medicine, 2012, p1
- ISSN
2090-6668
- Publication type
Article
- DOI
10.1155/2012/317082