Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series

Demyelinating syndrome (DS) is a rare manifestation of systemic lupus erythematosus (SLE) (1%) with high clinical heterogeneity and potentially severe prognosis. It can represent a diagnostic and therapeutic challenge for clinicians. A recent study described 5 different patterns of demyelinating dis...

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Main Authors: E. Chessa, M. Piga, A. Floris, A. Mathieu, A. Cauli
Format: Article
Language:English
Published: PAGEPress Publications 2017-12-01
Series:Reumatismo
Subjects:
Online Access:http://reumatismo.org/index.php/reuma/article/view/1007
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author E. Chessa
M. Piga
A. Floris
A. Mathieu
A. Cauli
author_facet E. Chessa
M. Piga
A. Floris
A. Mathieu
A. Cauli
author_sort E. Chessa
collection DOAJ
description Demyelinating syndrome (DS) is a rare manifestation of systemic lupus erythematosus (SLE) (1%) with high clinical heterogeneity and potentially severe prognosis. It can represent a diagnostic and therapeutic challenge for clinicians. A recent study described 5 different patterns of demyelinating disease presentation, characterised by specific clinical, laboratory and brain and spine magnetic resonance imaging abnormalities: 1) neuromyelitis optica; 2) neuromyelitis optica spectrum disorders; 3) DS prevalently involving the brain; 4) DS prevalently involving the brainstem; 5) clinically isolated syndrome. In this review we briefly discuss typical characteristics of each DS presentation in SLE and we describe 5 illustrative clinical cases, one for each subset of DS, considering both diagnostic and therapeutic options.
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spelling doaj.art-62718f03654240a69c748070db31ccfb2022-12-22T03:02:28ZengPAGEPress PublicationsReumatismo0048-74492240-26832017-12-0169417518310.4081/reumatismo.2017.1007762Demyelinating syndrome in SLE: review of different disease subtypes and report of a case seriesE. Chessa0M. Piga1A. Floris2A. Mathieu3A. Cauli4Rheumatology Unit, University Clinic AOU of CagliariRheumatology Unit, University Clinic AOU of CagliariRheumatology Unit, University Clinic AOU of CagliariRheumatology Unit, University Clinic AOU of CagliariRheumatology Unit, University Clinic AOU of CagliariDemyelinating syndrome (DS) is a rare manifestation of systemic lupus erythematosus (SLE) (1%) with high clinical heterogeneity and potentially severe prognosis. It can represent a diagnostic and therapeutic challenge for clinicians. A recent study described 5 different patterns of demyelinating disease presentation, characterised by specific clinical, laboratory and brain and spine magnetic resonance imaging abnormalities: 1) neuromyelitis optica; 2) neuromyelitis optica spectrum disorders; 3) DS prevalently involving the brain; 4) DS prevalently involving the brainstem; 5) clinically isolated syndrome. In this review we briefly discuss typical characteristics of each DS presentation in SLE and we describe 5 illustrative clinical cases, one for each subset of DS, considering both diagnostic and therapeutic options.http://reumatismo.org/index.php/reuma/article/view/1007Systemic lupus erythematosusDemyelinating syndromeNeuropsychiatric lupusMagnetic resonance.
spellingShingle E. Chessa
M. Piga
A. Floris
A. Mathieu
A. Cauli
Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series
Reumatismo
Systemic lupus erythematosus
Demyelinating syndrome
Neuropsychiatric lupus
Magnetic resonance.
title Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series
title_full Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series
title_fullStr Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series
title_full_unstemmed Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series
title_short Demyelinating syndrome in SLE: review of different disease subtypes and report of a case series
title_sort demyelinating syndrome in sle review of different disease subtypes and report of a case series
topic Systemic lupus erythematosus
Demyelinating syndrome
Neuropsychiatric lupus
Magnetic resonance.
url http://reumatismo.org/index.php/reuma/article/view/1007
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AT afloris demyelinatingsyndromeinslereviewofdifferentdiseasesubtypesandreportofacaseseries
AT amathieu demyelinatingsyndromeinslereviewofdifferentdiseasesubtypesandreportofacaseseries
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