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Case Reports
. 2012 May 11:2012:bcr0220125743.
doi: 10.1136/bcr.02.2012.5743.

Tumefactive demyelination associated with systemic lupus erythematosus

Rajesh Verma  1 , Kamal Arya
Affiliations
Case Reports

Tumefactive demyelination associated with systemic lupus erythematosus

Rajesh Verma et al. BMJ Case Rep. .

Abstract

Systemic lupus erythematosus (SLE) is a chronic inflammatory multi-system disease characterised by varied clinical manifestation and immunological abnormalities. The clinical presentation of the disorder has wide spectra, from an asymptomatic presentation to a severe life-threatening disease affecting several organs. The sole manifestation of lupus erythematosus could be neurological syndrome, where diagnosis of SLE is difficult to establish. The authors intended to report a young female, who initially developed left-sided hemiparesis due to tumefactive demyelination, later on diagnosed as case of SLE. The association of tumefactive demyelination and SLE has not been previously reported in the literature.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
MRI T2 weighted flair image showing predominantly extensive white matter lesion in right parietal area.
Figure 2
Figure 2
T1 contrast showing patchy enhancement.
Figure 3
Figure 3
T2 flair image revealing tumefactive lesion with effacement of right lateral ventricle.
Figure 4
Figure 4
Repeat MRI T2 weighted flair showing resolution of lesion.
Figure 5
Figure 5
Repeat T1 contrast revealing almost disappearance of lesion.
See this image and copyright information in PMC

References

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