Acute inflammatory demyelinating polyneuropathy as the initial presentation of lupus

Tai-Yi Hsu; Shih-Hao Wang; Chang-Fu Kuo; Te-Fa Chiu; Yu-Che Chang

doi:10.1016/j.ajem.2008.11.006

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Acute inflammatory demyelinating polyneuropathy as the initial presentation of lupus

Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Tao-Yuan, Taiwan

Chang-Fu Kuo, MD

Department of Rheumatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Tao-Yuan, Taiwan

Te-Fa Chiu, MD

Yu-Che Chang, MD

Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Tao-Yuan, Taiwan

DOI: http://dx.doi.org/10.1016/j.ajem.2008.11.006

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A 28-year-old woman presented at the emergency department (ED) with acute bilateral leg weakness and lost the ability to walk 1 day after noticing bilateral leg numbness and intermittent pleuritic pain for 3 weeks. Physical examination revealed bilateral decreased muscle strength with score 4 symmetrically in the legs and decreased deep tendon reflex. Laboratory tests indicated lymphopenia but no other grossly remarkable findings. Cerebrospinal fluid analysis demonstrated albuminocytologic dissociation.

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Acute inflammatory demyelinating polyneuropathy as the initial presentation of lupus

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