eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
Current issue Archive Manuscripts accepted About the journal Scientific board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

Without publication fees

without publication fees

Open access

without publication fees
1/2024
vol. 33
 
Share:
Send email
Share:
abstract:
Case report

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

  1. Student Scientific Society, Chair and Department of Neurology, Medical University of Lublin, Poland
  2. Chair and Department of Neurology, Medical University of Lublin, Poland
Adv Psychiatry Neurol 2024; 33 (1): 39–42
DOI: https://doi.org/10.5114/ppn.2023.134444
Online publish date: 2024/01/17
View full text Get citation
 
PlumX metrics:
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.

keywords:

systemic lupus erythematosus, differential diagnosis, multiple sclerosis, coexistent disease
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.