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Lupus
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Limbic encephalitis associated with systemic lupus erythematosus

O. Kano

Department of Neurology, Methodist Neurological Institute, Houston, Texas, USA, osamukano{at}aol.com, Department of Neurology, Aikawa Hospital, Japan

K. Arasaki

Department of Neurology, Aikawa Hospital, Japan

K. Ikeda

Department of Neurology, Toho University Omori Medical Center, Tokyo, Japan

J. Aoyagi

Department of Neurology, Toho University Omori Medical Center, Tokyo, Japan

H. Shiraishi

First Department of Internal Medicine, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

M. Motomura

First Department of Internal Medicine, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

Y. Iwasaki

Department of Neurology, Toho University Omori Medical Center, Tokyo, Japan

A 34-year-old woman with systemic lupus erythematosus (SLE) presented with general fatigue, seizures and memory loss. Magnetic resonance imaging of the brain showed a high signal area in the mesial temporal lobe bilaterally. Computed tomography scan of the chest and abdomen and ultrasound of pelvis detected no malignancy and tumour marker, antibodies to antineuronal antibodies (anti-Hu, anti-Ta and anti-Ma) and antibodies to voltage-gated potassium channels were all negative. The present case is limbic encephalitis (LE) associated with SLE and the pathogenesis may include autoimmunity shared. Our experience indicates that the immunologic spectrum of LE will expand to include additional immune mechanisms. Lupus (2009) 18, 1316—1319.

Key Words: limbic encephalitis • magnetic resonance imaging • systemic lupus erythematosus • voltage-gated potassium channel antibody

This version was published on December 1, 2009

Lupus, Vol. 18, No. 14, 1316-1319 (2009)
DOI: 10.1177/0961203309106829


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