Myelitis transverse in Sjögren's syndrome and systemic lupus erythematosus: presentation of 3 cases

Abstract

Transverse myelitis is a rare focal inflammation of the spinal cord. Multiple etiologies have been identified including autoimmune diseases, mainly systemic lupus erythematosus and Sjögren' syndrome. It can occur in an acute or subacute clinical onset, with the acute presentation having a worse prognosis. An early diagnosis and intensive treatment are important features recommended in these patients. We present three cases with transverse myelitis associated with autoimmune diseases. We discuss different clinical manifestations, association with autoantobodies, radiologic findings, and therapeutic and prognostic issues.

Keywords: Lupus eritematoso sistémico; Mielitis transversa; Sjögren's syndrome; Systemic lupus erithematosus; Síndrome de Sjögren; Transverse myelitis.