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KMID : 0388220140210030143
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Journal of the Korean Rheumatism Association
2014 Volume.21 No. 3 p.143 ~ p.146
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A Case of Acute Inflammatory Demyelinating Polyradiculoneuropathy in a Patient with Systemic Lupus Erythematosus
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Lee Jeong-Won
Kang Ji-Hyoun
Hong Hyoung-Ju
Ju Sun-Mi
Lee Kyung-Eun
Wen Li-Hui
Park Dong-Jin
Kim Tae-Jong
Park Yong-Wook
Lee Shin-Seok
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Abstract
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Neuropsychiatric manifestations in patients with systemic lupus erythematosus are fairly common, with a prevalence of 37∼95%. Among 19 neuropsychiatric manifestations, acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is quite rare, and is characterized by progressive, symmetric muscle weakness accompanied by absent or de-pressed deep tendon reflexes. Generally, plasma exchange and intravenous immunoglobulin are the main treatment modalities. Here, we report a case of AIDP in a 29-year-old SLE patient, who was fully recovered with a treatment of high-dose glucocorticoid and immunosuppressive agents. Ours case suggests that AIDP should be treated differently in SLE patients to avoid disastrous results.
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KEYWORD
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Systemic lupus erythematosus, Central nervous system, Polyradiculoneuropathy
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