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Spinal cord involvement in pediatric systemic lupus erythematosus: case report and literature review

S M al-Mayouf1, S Bahabri

  • 1Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Insights

Transverse myelitis, a rare systemic lupus erythematosus complication, occurred in the youngest patient on record. Treatment with prednisone and cyclophosphamide led to clinical improvement, supported by literature review.

Area of Science:

  • Neurology
  • Rheumatology
  • Immunology

Background:

  • Systemic lupus erythematosus (SLE) is an autoimmune disease with diverse neurological manifestations.
  • Transverse myelitis is a rare but severe neurological complication associated with SLE.

Observation:

  • This report details the case of the youngest patient diagnosed with transverse myelitis in the context of SLE.
  • The patient presented with symptoms indicative of spinal cord inflammation.

Findings:

  • Clinical improvement was observed following treatment with prednisone and cyclophosphamide.
  • A comprehensive review of English literature from 1966 to the present on SLE-associated transverse myelitis was conducted.

Implications:

  • This case highlights the potential for early-onset transverse myelitis in SLE patients.
  • The findings underscore the efficacy of immunosuppressive therapy in managing this serious complication.
  • Further research into early diagnosis and management strategies for pediatric SLE neurological complications is warranted.

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