Pruritus as Unusual Manifestation of Lupus Myelopathy
Jha, V.K.; Sharda, V.; Rajkamal, T.; Bhatt, T.C.
Journal of the Association of Physicians of India 67(3): 95-97
2019
ISSN/ISBN: 0004-5772 PMID: 31304722 Document Number: 697994
Lupus myelopathy is a relatively uncommon manifestation of SLE. Atypical presentation of this rare entity with neuropathic itch has never been reported. We report a young girl who presented with predominant symptom of refractory pruritus which after clinical localization and imaging was detected to have long segment patchy myelitis. Detailed evaluation led to a diagnosis of lupus myelopathy and the patient responded to immunosuppressive therapy with significant clinical and radiological improvement. Maintaining a high level of suspicion for neurological cause in a patient with refractory localized itching resistant to regular antiallergic treatment is important in the right clinical setting.