Coexistence of multiple sclerosis and systemic lupus erythematosus – a case report

Maciej Dubaj; Aleksandra Dembowska; Karol Bigosiński; Ewa Belniak; Konrad Rejdak

doi:10.5114/ppn.2023.134444

eISSN: 2720-5371
ISSN: 1230-2813

Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii

Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury

Panel Redakcyjny

Zgłaszanie i recenzowanie prac online

Wyszukiwanie

Zasady redakcyjne

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

Poleć ten artykuł:

Wyślij znajomemu

Skopiuj link:

Udostępnij:

streszczenie artykułu:

Opis przypadku

Coexistence of multiple sclerosis and systemic lupus erythematosus – a case report

Maciej Dubaj

¹

,

Aleksandra Dembowska

¹

,

Karol Bigosiński

¹

,

Ewa Belniak

²

,

Konrad Rejdak

²

Student Scientific Society, Chair and Department of Neurology, Medical University of Lublin, Poland

Chair and Department of Neurology, Medical University of Lublin, Poland

DOI: https://doi.org/10.5114/ppn.2023.134444

Data publikacji online: 2024/01/17

Pełna treść artykułu Pobierz cytowanie

Metryki PlumX:

Purpose:
Multiple sclerosis (MS) and systemic lupus erythematosus (SLE) are two autoimmune diseases that are relatively common, especially in women. However, it is extremely rare for them to coexist in a single patient (only 18 cases have been recorded worldwide). Both affect the nervous system and may manifest in identical ways. This creates significant difficulties, both in terms of diagnosis and choice of appropriate therapy.

Case description:
A 54-year-old female patient with quadriparesis, superficial sensory disturbance and gait and balance disorders was diagnosed with primary progressive MS according to McDonald’s criteria. The magnetic resonance images were typical for MS. Previously, in 2013, she was diagnosed with SLE, treated successfully, and is currently in remission. After excluding neuropsychiatric lupus, ocrelizumab treatment was administered, with good clinical results.

Comment:
Adequate differentiation (magnetic resonance imaging, analysis of cerebrospinal fluid, clinical observation) as to whether the patient’s symptoms are related to MS or to SLE nervous system involvement is the basis for proper diagnosis and treatment.

Coexistence of multiple sclerosis and systemic lupus erythematosus – a case report

Maciej Dubaj 1 , Aleksandra Dembowska 1 , Karol Bigosiński 1 , Ewa Belniak 2 , Konrad Rejdak 2

Maciej Dubaj

¹

,

Aleksandra Dembowska

¹

,

Karol Bigosiński

¹

,

Ewa Belniak

²

,

Konrad Rejdak

²