• J Postgrad Med · Jan 2021

    Case Reports

    Systemic lupus erythematosus presenting with holocord myelitis.

    • A Kumar, M B Singh, A Garg, and V Y Vishnu.
    • Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
    • J Postgrad Med. 2021 Jan 1; 67 (1): 333533-35.

    AbstractThis is a report of a case of a 25-year-old woman, who presented with a rapidly progressive sensory-motor flaccid quadriparesis which had developed over a few days along with bladder and bowel involvement. She had a past history of photosensitive rash and joint pains along with mild-to-moderate grade fever; for which she had never been evaluated. Serological markers for systemic lupus erythematosus (SLE) were strongly positive and helped in establishing the diagnosis of SLE-related holocord myelitis. High-dose intravenous glucocorticoid followed by intravenous pulse cyclophosphamide was used to treat her and there was a significant improvement. In this case report, the diagnosis of SLE was made for the first time in a patient presenting with holocord myelitis.

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