Pruritus as Unusual Manifestation of Lupus Myelopathy

Autor: Vijoy Kr, Jha, Vivek, Sharda, T, Rajkamal, Trilok C, Bhatt
Rok vydání: 2019
Předmět:
Zdroj: The Journal of the Association of Physicians of India. 67(3)
ISSN: 0004-5772
Popis: Lupus myelopathy is a relatively uncommon manifestation of SLE. Atypical presentation of this rare entity with neuropathic itch has never been reported. We report a young girl who presented with predominant symptom of refractory pruritus which after clinical localization and imaging was detected to have long segment patchy myelitis. Detailed evaluation led to a diagnosis of lupus myelopathy and the patient responded to immunosuppressive therapy with significant clinical and radiological improvement. Maintaining a high level of suspicion for neurological cause in a patient with refractory localized itching resistant to regular antiallergic treatment is important in the right clinical setting.
Databáze: OpenAIRE