• World Neurosurg · Jun 2023

    Systemic lupus erythematosus flare up manifestation as intramedullary and posterior pharynx hemorrhage.

    • Minjie Cai, Nanjin Chen, and Yongpo Jiang.
    • Depertment of Critical care medicine, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China.
    • World Neurosurg. 2023 Jun 7; 177: 596159-61.

    AbstractSystemic lupus erythematosus (SLE) is a common clinical condition, and one of its more common complications is bleeding. Intramedullary and posterior pharynx hemorrhage in SLE is rare and disastrous. We present a patient with a predominantly neurological clinical presentation, which on examination was thought to be the result of active SLE complicated by intramedullary and pharynx hemorrhage. Intravenous glucocorticoids were administered for the acute SLE flare-up. The patient's neurological deficits improved gradually. She could walk independently when she was discharged. Early magnetic resonance imaging detection and early glucocorticoid treatment can halt the progression of neuropsychiatric SLE.Copyright © 2023 Elsevier Inc. All rights reserved.

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