Lupus myelitis

Case contributed by Dr Mostafa El-Feky

Presentation

Back pain and left brachiaglia. Known case of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), on corticosteroid therapy.

Patient Data

Age: 30 years
Gender: Female
MRI

Whole spine

Mild expansion of the spinal cord with central hyperintense signal opposite C4-D1 level.

Also noted similar looking smaller hyperintense patches opposite D5/6, D8, and D11/12 levels, with normal cord diameter and normal subarachnoid space.

Case Discussion

Features are suggestive of autoimmune-mediated myelitis, considering patient's history of systemic lupus erythematosus, lupus myelitis is considered. It is thought that the etiology is likely due to vasculitis rather than demyelination.

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Case information

rID: 75211
Published: 27th Mar 2020
Last edited: 28th Mar 2020
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

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