Severe Axonal Peripheral Polyneuropathy Revealing a Systemic Lupus Erythematosus: About One Case

• 作者: Abidou Kawalé Coulibaly Astrid Nawé Ngandeu Boubacar Ouali Edmond Eti Marcel N’zué Kouakou Mariam Gbané-Koné Mohamed Diomandé
• 来源期刊: 风湿病与自身免疫疾病期刊(英文)
• 学科: 医学
• 关键词: Systemic Lupus ERYTHEMATOSUS EMG Neurolupus PERIPHERAL POLYNEUROPATHY
• 年，卷（期）: 2015,（2）
• 页码范围: 36-39
• 页数: 4页
• 分类号: R5

摘要

Aim: We report a case of acute and severe sensorimotor peripheral polyneuropathy (with a severe motor damage) revealing a lupus. Case Presentation: A 48-year-old female patient was interned in rheumatology for a chronic polyarthritis. Four days after her hospitalisation, she was presenting a flask distal and proximal tetraparesia, with rapidly progressive installation. Electromyogram showed severe acute axonal sensorimotor polyneuropathy. The antinuclear antibody was positive as the anti-ds-DNA antibodies. The evolution has been unsatisfactory despite the high-dose corticotherapy and the immunosuppressor. Conclusion: Even if it is rare, peripheral neuropathy can be a lupus discovery circumstance.