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  • Title: [Acute transverse myelitis in systemic lupus erythematosus].
    Author: Romero Ganuza FJ, Sebastián de la Cruz F, La Banda Brusi F, Mazaira Alvarez J.
    Journal: Rev Clin Esp; 1999 Apr; 199(4):218-21. PubMed ID: 10364794.
    Abstract:
    Acute transverse myelitis as complication of systemic lupus erythematosus is a known and well-characterized although uncommon clinical entity. We report here four cases of lupic myelitis collected at our hospital in the last few years and review the available literature of the last ten years, approximately the time when NMR became generally available. The clinical picture can be very variable and therefore, when facing a picture of acute myelitis, lupus should be included in the differential diagnosis; biochemistry evaluating the lupus "activity" is of poor diagnostic value, nuclear magnetic resonance is not conclusive for the etiologic diagnosis of myelitis and its prognosis has improved with therapy including pulses of steroid and immunosuppressant agents.
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