Systemic LupusErythematosusandAcuteTransverseMyelitis:An Unusual Association—A Case Report
- Case Reports in Medicine : 1-5
Résumé
Acute transverse myelitis is a rare neurological complication of systemic lupus erythematosus (SLE), particularly in sub-Saharan African origin patients. We report a case of acute transverse myelitis in a sub-Saharan African origin patient with SLE. Tis case involved a 37-year-old female patient with SLE and secondary Sj¨ogren’s syndrome, presenting with progressively worsening paraplegia. Examination revealed paraplegia of the lower limbs and paraparesis of the upper limbs. Lumbar puncture yielded clear cerebrospinal fuid with hyperproteinorachia. Spinal magnetic resonance imaging showed transverse myelitis in lumbar level; the 24-hour proteinuria was 4.2g. Te diagnosis of acute transverse myelitis and renal fare of SLE was made. Clinical improvement was achieved with methylprednisolone, cyclophosphamide, and physiotherapy. Acute transverse myelitis remains a rare and poorly understood complication of lupus, characterized by its severity and very poor prognosis.
Mots-clés
sub-Saharan Africa; systemic lupus erythematosus; transverse myelitis