TITLE:
Severe Axonal Peripheral Polyneuropathy Revealing a Systemic Lupus Erythematosus: About One Case
AUTHORS:
Mariam Gbané-Koné, Mohamed Diomandé, Boubacar Ouali, Abidou Kawalé Coulibaly, Astrid Nawé Ngandeu, Edmond Eti, Marcel N’zué Kouakou
KEYWORDS:
Systemic Lupus Erythematosus, EMG, Neurolupus, Peripheral Polyneuropathy
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.5 No.2,
April
14,
2015
ABSTRACT: Aim: We report a case of acute and severe sensorimotor peripheral polyneuropathy (with a severe motor damage) revealing a lupus. Case Presentation: A 48-year-old female patient was interned in rheumatology for a chronic polyarthritis. Four days after her hospitalisation, she was presenting a flask distal and proximal tetraparesia, with rapidly progressive installation. Electromyogram showed severe acute axonal sensorimotor polyneuropathy. The antinuclear antibody was positive as the anti-ds-DNA antibodies. The evolution has been unsatisfactory despite the high-dose corticotherapy and the immunosuppressor. Conclusion: Even if it is rare, peripheral neuropathy can be a lupus discovery circumstance.