Abstract |
Neuropsychiatric (NP) manifestations of systemic lupus erythematosus (SLE) are diverse, but involvement of basal ganglia is rare. We describe here a 28-year-old woman with NPSLE presenting aseptic meningitis accompanied by elevated interleukin-6 levels in the cerebrospinal fluid, who developed symmetrical basal ganglia lesions, containing a cytotoxic oedematous core, surrounded by vasogenic oedema upon magnetic resonance imaging. We were able to observe these lesions from a de novo appearance during the disease onset to its disappearance during immunosuppressive treatment. Reversibility upon immunosuppressive treatment indicated that autoimmune mediated mechanisms could contribute to the basal ganglia lesions in NPSLE.
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Authors | Syoko Tsubouchi, Haeru Hayashi, Koichiro Tahara, Kayo Ishii, Takuya Yasuda, Yusuke Yamamoto, Takahiro Mizuuchi, Hiroaki Mori, Mayu Tago, Eri Kato, Tetsuji Sawada |
Journal | Modern rheumatology case reports
(Mod Rheumatol Case Rep)
Vol. 4
Issue 1
Pg. 39-46
(01 2020)
ISSN: 2472-5625 [Electronic] England |
PMID | 33086978
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Adult
- Basal Ganglia
(drug effects, pathology)
- Edema
(diagnosis, drug therapy, etiology)
- Female
- Humans
- Immunosuppressive Agents
(pharmacology, therapeutic use)
- Lupus Erythematosus, Systemic
(complications, diagnosis, drug therapy)
- Lupus Vasculitis, Central Nervous System
(diagnosis, drug therapy, etiology)
- Symptom Assessment
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