전신 홍반 루푸스에서 발생한 Miller Fisher 증후군 1예
분야
의약학 > 내과학
저자
김혜영 ( Hye Young Kim ) , 이찬희 ( Chan Hee Lee ) , 조정희 ( Jeong Hee Cho ) , 윤평호 ( Pyeong Ho Yoon ) , 이용강 ( Yong Kang Lee ) , 박윤혜 ( Yoon Hye Park ) , 최아라 ( Ara Choi )
발행기관
대한내과학회
간행물정보
Korean Journal of Medicine(구 대한내과학회지) 2012년, 제83권 제5호, 683~687페이지(총5페이지)
파일형식
42847579.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    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-Barr? 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. (Korean J Med 2012;83:683-687)
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