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Case Reports in RheumatologyVolume 2013 2013, Article ID 175261, 4 pages

Case Report

Division of Rheumatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA

Division of Rheumatology, Department of Internal Medicine, John L. McClellan Memorial Veterans Hospital, Little Rock, AR 72205, USA

Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA

Received 14 December 2012; Accepted 3 January 2013

Academic Editors: G. S. Alarcon and L.-P. Erwig

Copyright © 2013 Fawad Aslam et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cranial palsies are a very rare feature of SLE. Similarly, peripheral sensory-motor axonal neuropathy is very uncommon in SLE. The combination of the two as the presenting symptoms of SLE is a diagnostic challenge particularly in an elderly male patient with a known diagnosis of sarcoidosis. This case serves to highlight the diagnostic considerations in such a patient. The lack of response to standard therapy and the presence of subtle clues like anemia, proteinuria, and mild serositis should prompt the physician to look for alternate diagnoses. The potential association of SLE and sarcoidosis is also discussed. SLE can be present in elderly male patients with cranial and peripheral neuropathy.





Autor: Fawad Aslam, Firas Bannout, and Elizabeth B. Russell

Fuente: https://www.hindawi.com/



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