Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus

Cranial palsies are a very rare feature of SLE. Similarly, peripheral sensory-motor axonal neuropathy is very uncommon in SLE. The combination of the two as the presenting symptoms of SLE is a diagnostic challenge particularly in an elderly male patient with a known diagnosis of sarcoidosis. This ca...

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Main Authors: Fawad Aslam, Firas Bannout, Elizabeth B. Russell
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2013/175261
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author Fawad Aslam
Firas Bannout
Elizabeth B. Russell
author_facet Fawad Aslam
Firas Bannout
Elizabeth B. Russell
author_sort Fawad Aslam
collection DOAJ
description Cranial palsies are a very rare feature of SLE. Similarly, peripheral sensory-motor axonal neuropathy is very uncommon in SLE. The combination of the two as the presenting symptoms of SLE is a diagnostic challenge particularly in an elderly male patient with a known diagnosis of sarcoidosis. This case serves to highlight the diagnostic considerations in such a patient. The lack of response to standard therapy and the presence of subtle clues like anemia, proteinuria, and mild serositis should prompt the physician to look for alternate diagnoses. The potential association of SLE and sarcoidosis is also discussed. SLE can be present in elderly male patients with cranial and peripheral neuropathy.
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spelling doaj-art-c715b3b450b84c0d8dfd1232fc95cc082025-08-20T02:19:44ZengWileyCase Reports in Rheumatology2090-68892090-68972013-01-01201310.1155/2013/175261175261Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus ErythematosusFawad Aslam0Firas Bannout1Elizabeth B. Russell2Division of Rheumatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADivision of Rheumatology, Department of Internal Medicine, John L. McClellan Memorial Veterans Hospital, Little Rock, AR 72205, USADivision of Rheumatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USACranial palsies are a very rare feature of SLE. Similarly, peripheral sensory-motor axonal neuropathy is very uncommon in SLE. The combination of the two as the presenting symptoms of SLE is a diagnostic challenge particularly in an elderly male patient with a known diagnosis of sarcoidosis. This case serves to highlight the diagnostic considerations in such a patient. The lack of response to standard therapy and the presence of subtle clues like anemia, proteinuria, and mild serositis should prompt the physician to look for alternate diagnoses. The potential association of SLE and sarcoidosis is also discussed. SLE can be present in elderly male patients with cranial and peripheral neuropathy.http://dx.doi.org/10.1155/2013/175261
spellingShingle Fawad Aslam
Firas Bannout
Elizabeth B. Russell
Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus
Case Reports in Rheumatology
title Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus
title_full Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus
title_fullStr Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus
title_full_unstemmed Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus
title_short Cranial Nerve Palsies: Sarcoidosis to Systemic Lupus Erythematosus
title_sort cranial nerve palsies sarcoidosis to systemic lupus erythematosus
url http://dx.doi.org/10.1155/2013/175261
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AT elizabethbrussell cranialnervepalsiessarcoidosistosystemiclupuserythematosus