https://scholars.lib.ntu.edu.tw/handle/123456789/203938
Title: | Recurrence of Transverse Myelitis after Long Term Neurological Recovery Associated with Antiphospholipid Antibodies in A Patient with Systemic Lupus Erythematosus: A Case Report 全身性紅斑性狼瘡伴有抗磷脂抗體及橫斷性脊髓炎經長期神經恢復後再復發:病例報告 |
Authors: | WANG, YEN-HO TSAY, WOEI YIN, GUANG-DAR HUANG, KOU-MOU HUANG, TIEN-SHANG 王顏和 蔡偉 殷光達 黃國茂 黃天祥 |
Keywords: | transverse myelitits;SLE;pulse therapy;antiphospholipid antibodies | Issue Date: | 1999 | Journal Volume: | v.27 | Journal Issue: | n | Start page/Pages: | 227-234 | Source: | Journal of Rehabilitation Medicine Association Republic of China | Abstract: | A 44-year-old female Taiwanese developed T5 transverse myelitis (TM) in 1984, eight years before the diagnosis of systemic lupus erythematosus ( SLE). She responded very well to prednisolone and azathioprine administration and had complete neurological recovery. In August 1997, a relapse of TM at vicinal level, T6, occurred. Magnetic resonance image of teh spinal cord revealed long segment involvement from T 4 to T8. High titer of antiphospholipid antibodies and various serological markers of lupus activity were found to correlate with this relapse of TM. She responded very well to methylprednisolone pulse therapy with nearly complete neurological recovery. Follow-up examination of magnetic resonance imaging, 4 months after relapse, revealed much improvement.Here we report this rare condition in a woman with SLE, who suffered relapse of TM 13 years after a previous episode with complete neurological recovery. A sequential change of antiphospholipid antibodies correlated with LE activities was also presented. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/99377 |
Appears in Collections: | 醫學系 |
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