Successful Use of Intensive Immunosuppressive Therapy for Treating Simultaneously Occurring Cerebral Lesions and Pulmonary Arterial Hypertension in a Patient with Systemic Lupus Erythematosus

Ryu Watanabe; Hiroshi Fujii; Tsuyoshi Shirai; Shinichiro Saito; Akira Hatakeyama; Koichiro Sugimura; Yoshihiro Fukumoto; Tomonori Ishii; Hideo Harigae

doi:10.2169/internalmedicine.53.0514

CASE REPORTS

Successful Use of Intensive Immunosuppressive Therapy for Treating Simultaneously Occurring Cerebral Lesions and Pulmonary Arterial Hypertension in a Patient with Systemic Lupus Erythematosus

Ryu Watanabe, Hiroshi Fujii, Tsuyoshi Shirai, Shinichiro Saito, Akira Hatakeyama, Koichiro Sugimura, Yoshihiro Fukumoto, Tomonori Ishii, Hideo Harigae

著者情報

キーワード: cerebral lesion, pulmonary arterial hypertension, systemic lupus erythematosus

ジャーナルオープンアクセス

2014 年 53 巻 6 号 p. 627-631

DOI https://doi.org/10.2169/internalmedicine.53.0514

詳細

抄録

A 59-year-old woman who had been diagnosed with systemic lupus erythematosus (SLE) was admitted to our hospital due to paralysis in all of her limbs. The patient presented with dysarthria, cerebellar ataxia and hypoxia. Magnetic resonance imaging (MRI) revealed vasogenic edema in the brain stem and the cerebellum. She was diagnosed with neuropsychiatric lupus syndrome (NPSLE) and pulmonary arterial hypertension (PAH), and was successfully treated using immunosuppressive therapy. To our knowledge, this is the first reported case of simultaneously developing NPSLE and PAH.

責任著者(Corresponding author)

J-STAGEへの登録はこちら（無料）