Devic syndrome associated to systemic lupus erythematosus. Case report.

Abstract

Devic’s syndrome is a demielizing disease of the central nervous sistem, of unknown etiology. It is highly relationated with systemic lupus erythematosus, being a rare and severe complication. This syndrome presents as a transverse myelophaty with the compromise of a cervical level and optic neuritis. 32 years old female arrives to the emergency room, complaining about thoracic pain, progressive lost of the muscle strength in the lower extremities, lost of urinary sphincter control and decrease or sight. She also shows systemic lupus erythematosus. At physical exam, findings were atrophy and paleness of the right optic disc, muscle strength 3/5 in upper and lower extremities, abnormalities in propioception and sensibility of lower extremities. MR findings suggest transverse myelitis from C2 to C6. Laboratory exams reported elevated anticardiolipin antibodies and antinuclear antibodies 1:320. Treatment was established with steroids and the symptoms recovered, reason why the patient was discharged on day six with ambulatory treatment.

Authors

• Juan Camilo Botero Instituto de Ciencias de la Salud (CES)
• Alejandro García Instituto de Ciencias de la Salud (CES)
• Juliana Hidalgo Instituto de Ciencias de la Salud (CES)