Korean J Med.
2015 Nov;89(5):604-608. 10.3904/kjm.2015.89.5.604.
Acute Transverse Myelitis in a Patient with Rheumatoid Arthritis Treated with Intravenous Immunoglobulin
- Affiliations
-
- 1Division of Rheumatology, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea. kiwonmoon@kangwon.ac.kr
- KMID: 2268967
- DOI: http://doi.org/10.3904/kjm.2015.89.5.604
Abstract
- Acute transverse myelitis (ATM) is a heterogeneous syndrome characterized by acute spinal cord dysfunction resulting in paresis and sensory and autonomic impairment below the level of the lesion. The etiology of ATM includes parainfectious, paraneoplastic, drug-induced, systemic autoimmune disorders, and acquired demyelinating diseases. ATM is very rare in patients with rheumatoid arthritis (RA). A 79-year-old woman with RA, a recurring peptic ulcer, and congestive heart failure presented with acute weakness of both upper and lower extremities. She was diagnosed with ATM based on the results of laboratory and radiological tests. ATM is usually treated with high-dose glucocorticoid. However, we treated her with intravenous immunoglobulin (IVIG) considering the adverse events of high-dose glucocorticoid, and she improved. We report a case of ATM in a patient with RA successfully treated with IVIG.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Myasthenia Gravis Associated with Recurrent Transverse Myelitis
- A Case of Acute Transverse Myelitis with Hepatitis B Virus Infection
- Acute Transverse Myelitis after Varicella-Zoster Virus Infection in an Immunocompetent Patient: A Case Report
- A Rare Case of Acute Motor Axonal Neuropathy and Acute Transverse Myelitis Overlap Syndrome
- Primary Sjogren's Syndrome Associated with Recurrent Transverse Myelitis
