Neuromielitis óptica y lupus eritematoso sistémico en un hombre: Caso clínico

Autor: Felipe Suárez H, Daniela Urrutia E, Felipe Canales P, Camila Gutiérrez O
Rok vydání: 2016
Předmět:
Zdroj: Revista médica de Chile v.144 n.9 2016
SciELO Chile
CONICYT Chile
instacron:CONICYT
ISSN: 0034-9887
DOI: 10.4067/s0034-98872016000900020
Popis: Neuromyelitis optica (NMO) is a severe demyelinating disease of the central nervous system, which preferentially attacks the optic nerve and spinal cord. It is associated with antibodies against aquaporin 4. Morbidity and mortality are higher than in multiple sclerosis and its treatment focuses on immunosuppressive drugs. Immunomodulators are contraindicated. We report a previously healthy 35 years old man, presenting with NMO concomitantly with a systemic lupus erythematosus. His evolution was torpid with three outbreaks in the 10 months after the diagnosis, requiring a first-line therapy with methylprednisolone and cyclophosphamide and then a second-line therapy with rituximab.
Databáze: OpenAIRE