scholarly journals Muscle weakness of the lower limbs after epidural anesthesia in a pregnant woman with undiscovered systemic lupus erythematosus

2020 ◽  
Vol 133 (5) ◽  
pp. 621-622
Author(s):  
Lan Wu ◽  
Xiao-Qin Jiang ◽  
Ya-Qin Xiong ◽  
Xue-Mei Lin
Open Medicine ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 562-564 ◽  
Author(s):  
Ruiqiang Wang ◽  
Bowen Zheng ◽  
Biyue Wang ◽  
Pupu Ma ◽  
Fengmei Chen ◽  
...  

AbstractChronic intestinal pseudo-obstruction (CIPO) is a functional gastrointestinal disorder with symptoms of ileus. CIPO can either be idiopathic or secondary to other diseases such as systemic lupus erythematosus (SLE). SLE is involved in many parts of the gastrointestinal system with variable clinical presentations. Reports about reduplicated CIPO as a complication of SLE is infrequent. A 49-year-old female suffering from clinical symptoms of ileus has been hospitalized 3 times over 1 year. Her examination results showed no observation of mechanical obstruction. In August 2017, she came to the nephrology department due to edema in both lower limbs along with symptoms of ileus. After thorough examination, she was diagnosed with secondary CIPO related to SLE. Results of renal biopsy confirmed to be lupus nephritis (Class III-(A) + V). The symptoms of ileus are gradually improved after treatment of full-dose intravenous corticosteroid for 5 days.


Rheumatology ◽  
1998 ◽  
Vol 37 (1) ◽  
pp. 104-105 ◽  
Author(s):  
E. Pittau ◽  
A. Tinti ◽  
L. Martini ◽  
A. Bogliolo ◽  
G. Perpignano

2018 ◽  
Author(s):  
Xiang Yang ◽  
Seidu A. Richard ◽  
Jiagang Liu ◽  
Siqing Huang

Subarachnoid hemorrhage (SAH) is an uncommon complication of systemic lupus erythematosus (SLE). Solitary association of fatal spinal SAH as a complication of SLE, has not been encountered much in literature although coexisting acute cerebral and spinal SAH have been associated with SLE. We present a 39-year old female with initial diagnosis of SLE eight years ago who suddenly developed a productive cough, acute abdomen and paralysis of the lower limbs. Magnetic resonance imaging of the spine revealed thoracic spinal SAH with varying degrees of thoracic spinal cord compression. The hemorrhage was total evacuated via surgery. She regained normal function of her lower limbers after the operation with no further neurological complications. One of the rare but fatal complications of SLE is solitary spinal SAH without cranial involvement. The best and most appropriate management of this kind of presentation is surgical decompression of the hematoma with total hemostasis. The cause of hemorrhage should be identified intra-operatively and treated appropriately.


Reumatismo ◽  
2017 ◽  
Vol 69 (3) ◽  
pp. 119
Author(s):  
C.A. Mansoor ◽  
R. Narayan

Mechanisms responsible for anemia in systemic lupus erythematosus (SLE) can be immune or non-immune. A 27-year-old previously healthy woman was admitted with echymotic patches over the lower limbs for six months, multiple joint pain and fatigue for 2 months. She had severe pallor and multiple echymotic patches over the lower limbs. She was diagnosed with SLE with pernicious anemia and iron deficiency anemia. The rare association of SLE with pernicious anemia was reported previously in few patients. Treatment of SLE along with B12 supplementation is necessary for such patients. Since etiology for anemia in SLE can be of various kinds, a detailed workup for identifying the underlying mechanism is necessary.


2021 ◽  
Vol 2_2021 ◽  
pp. 168-172
Author(s):  
Kirsanova T.V. Kirsanova ◽  
Khodzhaeva Z.S. Khodzhaeva ◽  
Kravchenko N.F. Kravchenko ◽  
Pilia Z.A. Pilia ◽  

2020 ◽  
Vol 17 (1) ◽  
pp. 45-47
Author(s):  
Binod Poudel ◽  
Prashanna Karki ◽  
Aastha Lamsal ◽  
Chandra Mani Poudel

A young woman at 8 months postpartum presented with dyspnoea, orthopnoea and swelling of lower limbs in which physical examination, chest radiography and echocardiogram were suggestive of acute congestive heart failure with left ventricle dilatation and dysfunction. A suspicion of peripartum cardiomyopathy was made and treated with conventional drug therapy but the patient continued to develop multiple episodes of heart failure. Over time she developed fever and polyarthritis following which autoantibodies, complement level and 24-hour urinary protein were done which helped us to make the diagnosis of Systemic Lupus Erythematosus (SLE) nephritis. The patient was started on high dose corticosteroids. However, after a week, patient developed cardiogenic shock following which intravenous pulse Cyclophosphamide was started and the patient improved clinically and biochemically.


BMJ ◽  
2019 ◽  
pp. l970
Author(s):  
Junna Ye ◽  
Zhuochao Zhou ◽  
Jialin Teng ◽  
Chengde Yang

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