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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Lupus myelopathy.

Dominika D Raciborska1, Alastair John Noyce2,3, Dev Pyne4

  • 1Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

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Summary
This summary is machine-generated.

Systemic lupus erythematosus (SLE) can rarely cause myelopathy, a serious spinal cord condition. Early recognition and multidisciplinary care are crucial for managing this rare neurological complication of lupus.

Keywords:
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Area of Science:

  • Neurology
  • Rheumatology
  • Immunology

Background:

  • Neurological complications are common in systemic lupus erythematosus (SLE).
  • Myelopathy, a spinal cord dysfunction, is a rare but severe manifestation of SLE.
  • Central nervous system lupus encompasses various neurological presentations, including less recognized forms like subpial leukomyelopathy.

Observation:

  • A 35-year-old woman with serological evidence of SLE presented with non-specific symptoms and a respiratory infection.
  • She rapidly deteriorated, developing a catastrophic spinal cord syndrome.
  • Initial MRI was normal, but repeat imaging after one month revealed myelitic changes coinciding with progressing encephalopathy.

Findings:

  • The patient showed a slow response to treatment with cyclophosphamide and corticosteroids.
  • This case highlights the diverse and sometimes subtle presentations of SLE-related neurological conditions.
  • The findings underscore the diagnostic challenge posed by lupus-related myelopathy.

Implications:

  • This case emphasizes the importance of considering lupus myelopathy in patients with SLE and neurological decline.
  • It highlights the potential for delayed diagnosis due to initially normal imaging.
  • A multidisciplinary approach is vital for effective management of lupus-related myelopathy.