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Pruritus as Unusual Manifestation of Lupus Myelopathy
Vijoy Kr Jha1, Vivek Sharda2, T Rajkamal3
1Physician and Nephrologist, INHS Kalyani, Vizag, Andhra Pradesh.
Abstract:
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.
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