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Lupus
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Systemic lupus erythematous with recurrent Guillain -Barré-like syndrome treated with intravenous immunoglobulins

M Lewis

Department of Rheumatology, Guy’s and St Thomas’ Hospitals, London, UK

T Gibson

Department of Rheumatology, Guy’s and St Thomas’ Hospitals, London, UK, terence.gibson{at}kcl.ac.uk

We report on an unusual case of a young African male with systemic lupus erythematosus who developed an acute, severe Guillain-Barré-like peripheral neuropathy associated with ascites. The illness appeared to respond dramatically to a short course of intravenous immunoglobulins. Eight months later he had recurrence of identical features.He required respiratorysupport.On this occasion there was no response to intravenousimmunoglobulins or other measures and he died of sepsis after a protracted period of paralysis.

Key Words: acute peripheral neuropathy • ascites • intravenous immunoglobulins • tetraplegia

Lupus, Vol. 12, No. 11, 857-859 (2003)
DOI: 10.1191/0961203303lu464cr
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W G Law, B Y. Thong, T Umapathi, and H H Chng
Letter to the Editor
Lupus, December 1, 2006; 15(12): 899 - 900.
[PDF]


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