J Korean Rheum Assoc.  1997 Jul;4(2):180-184.

A Case of Systemic Lupus Erythematosus Presented with Clinical Feature Resembling Multiple Sclerosis

• Han CW
• Cha HS
• Kang SW
• Lee YJ
• Song YW

Abstract

Systemic lupus erythematosus is a connective tissue disease which can affect every organ system. Neurologic abnormalities are common, occuring in approximately half of all patients at some time during the course of their illness. But symptoms of nervous system as the sole presenting symptoms occur in less than 1% of lupus patients. In patients initially presenting with neurologic symptoms and signs, differential diagnosis is difficult and sometimes it may be misdiagnosed. Therefore extensive laboratory investigations should be carried out in all patients with unusual neurological symptoms, since early diagnosis of lupus can help in providing effective treatment. We report a patient with systemic lupus erythematosus who presented with dysarthria and dysphagia resembling multiple sclerosis.

Keyword

Systemic lupus erythematosus; Multiple sclerosis

MeSH Terms

Connective Tissue Diseases
Deglutition Disorders
Diagnosis, Differential
Dysarthria
Early Diagnosis
Humans
Lupus Erythematosus, Systemic*
Multiple Sclerosis*
Nervous System
Neurologic Manifestations