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West African Journal of Medicine

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A case of neuropsychiatric lupus with myelopathy successfully treated with corticosteroids

Homeed H Salmi, Medhat AF Shalaby, Hussein M Ageely, Fayza Moustafa

Abstract


This report describes a 16-year old female patient who presented with acute paresis in both lower limbs, acute urinary retention , blurred vision and arthritis. The patient was diagnosed as having systemic lupus erythematosus with myelitis and bilateral abducent nerves palsy. The administration of steroids resulted in marked improvement in her neurological symptoms.


Key words: Systemic Lupus Erythematosus, Neuropsychiatric, Myelopathy, Corticosteroids.

Résumé


Ce rapport tâche de décrire une patiente âgée de 16 ans qui s'est presentée atteinte du paresis chronique dans les deux membres inférieurs, retention de l'urine chronique, vue trouble, et l'arthrite. La patiente a été diagnostique atteinte du lupus erythemateu systemique avec la myelite et la paralysie abducent des nerfs bilateraux, (bilateral abducent nerves palsy). L'administration des stériodes a provoqué une amélioration remarquable dans ses symptôms neurologiques.

West African Journal of Medicine Vol.23(2) 2004: 173-175



http://dx.doi.org/10.4314/wajm.v23i2.28113
AJOL African Journals Online