A Case of Miller Fisher Syndrome in a Patient with Systemic Lupus Erythematosus / 대한내과학회지
Korean Journal of Medicine
;
: 683-687, 2012.
Article
in Korean
| WPRIM
| ID: wpr-224693
ABSTRACT
Neuropsychiatric events are common in patients with systemic lupus erythematosus (SLE). The estimated incidence of neuropsychiatric SLE (NPSLE) is 30 to 40%. However, NPSLE poses a difficult diagnostic challenge because a variety of conditions should be considered in the differential diagnosis, especially when patients present with uncommon or rare NPSLE features. We herein describe a 49-year-old man with SLE who initially presented with diplopia, ptosis, and gait disturbance that had developed 1 week after an upper respiratory tract infection. He was finally diagnosed with Miller Fisher syndrome (a variant of Guillain-Barre syndrome) according to clinical symptoms, anti-GQ1b antibody positivity, and neurological study results. The patient recovered without sequelae with intravenous immunoglobulin therapy. This is the first report to describe a case of Miller Fisher syndrome that developed in a patient with SLE in Korea and suggests that Miller Fisher syndrome should be included as a differential diagnosis of NPSLE.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiratory Tract Infections
/
Incidence
/
Immunization, Passive
/
Miller Fisher Syndrome
/
Diagnosis, Differential
/
Diplopia
/
Gait
/
Korea
/
Lupus Erythematosus, Systemic
Type of study:
Diagnostic study
/
Incidence study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2012
Type:
Article
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