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Lupus
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Intractable hiccup as the initial presenting feature of systemic lupus erythematosus

I Delèvaux

Department of Internal Medicine, CHU de Clermont-Ferrand, Hôpital G. Montpied, Clermont-Ferrand, France, idelevaux{at}chu-clermontferrand.fr

M André

Department of Internal Medicine, CHU de Clermont-Ferrand, Hôpital G. Montpied, Clermont-Ferrand, France

I Marroun

Department of Internal Medicine, CHU de Clermont-Ferrand, Hôpital G. Montpied, Clermont-Ferrand, France

D Lamaison

Department of Cardiology, CHU de Clermont-Ferrand, Hôpital G. Montpied, Clermont-Ferrand, France

J-C Piette

Department of Internal Medicine, Hôpital de la Pitié, Paris, France

O Aumaître

Department of Internal Medicine, CHU de Clermont-Ferrand, Hôpital G. Montpied, Clermont-Ferrand, France

An infarctus of medulla oblongata was discovered in a 44-year old man with an intractable hiccup and 10, 11th and 12th right cranial nerves palsies. Systemic lupus erythematosus (SLE) with antiphospholipid syndrome was subsequently diagnosed. Hiccup has withdrew with corticosteroid therapy and low-dose aspirin. The other cases of literature and pathophysiologic hypotheses are briefly reported.

Key Words: antiphospholipid syndrome • hiccup • systemic lupus erythematosus

Lupus, Vol. 14, No. 5, 406-408 (2005)
DOI: 10.1191/0961203303lu2092cr
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T. Sugimoto, N. Takeda, I. Yamakawa, H. Kawai, Y. Tanaka, M. Sakaguchi, N. Osawa, T. Uzu, and A. Kashiwagi
Intractable hiccup associated with aseptic meningitis in a patient with systemic lupus erythematosus
Lupus, February 1, 2008; 17(2): 152 - 153.
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