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A Case of Acute Inflammatory Demyelinating Polyradiculoneuropathy in a Patient with Systemic Lupus Erythematosus

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ÀÌÁ¤¿ø(Lee Jeong-Won) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
°­ÁöÇö(Kang Ji-Hyoun) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
È«ÇüÁÖ(Hong Hyoung-Ju) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
ÁÖ¼±¹Ì(Ju Sun-Mi) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
À̰æÀº(Lee Kyung-Eun) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
¿Â¸®ÈÖ(Wen Li-Hui) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
¹Úµ¿Áø(Park Dong-Jin) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
±èÅÂÁ¾(Kim Tae-Jong) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
¹Ú¿ë¿í(Park Yong-Wook) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç
À̽ż®(Lee Shin-Seok) - Àü³²´ëÇб³ Àǰú´ëÇÐ ·ù¸¶Æ¼½º³»°úÇб³½Ç

Abstract

Neuropsychiatric manifestations in patients with systemic lupus erythematosus are fairly common, with a prevalence of 37¡­95%. Among 19 neuropsychiatric manifestations, acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is quite rare, and is characterized by progressive, symmetric muscle weakness accompanied by absent or de-pressed deep tendon reflexes. Generally, plasma exchange and intravenous immunoglobulin are the main treatment modalities. Here, we report a case of AIDP in a 29-year-old SLE patient, who was fully recovered with a treatment of high-dose glucocorticoid and immunosuppressive agents. Ours case suggests that AIDP should be treated differently in SLE patients to avoid disastrous results.

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Systemic lupus erythematosus, Central nervous system, Polyradiculoneuropathy
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ICD 03
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