Abstract
Systemic lupus erythematosus (SLE) is an inflammatory, autoimmune disease that predominantly occurs in women of childbearing age. A 20-year-old, 35 week pregnant patient was admitted to our clinic with a 20 day history of leg pain, numbness in the feet, and left foot drop. On further examination, the patient reported oral ulcers once a month, occasional joint swelling, increasing malar rash under sunlight. Sensory-predominant sensorimotor polyneuropathy was detected on EMG, and a diagnosis of vasculitic neuropathy-related SLE was made. SLE patients with vague signs and symptoms may have new neurologic signs during pregnancy due to relapse of systemic disease. Moreover, there can be an increase in both fetal and maternal mortality. Therefore, clinicians should be wary of possible aforementioned complications during prenatal examinations of their pregnant patients with SLE.
Highlights
Systemic Lupus Erythematosus (SLE) is an important systemic disease with high morbidity and mortality[1]
A 20-year-old, 35 weeks, gravida 1 parıta 0 pregnant patient was admitted to our clinic with a history of leg pain lasting for 20 days, numbness in the feet and left foot drop
Systemic Lupus Erythematosus (SLE) is an inflammatory, autoimmune rheumatologic disease with frequent neurological complications occuring in upto 50% of patients
Summary
Systemic Lupus Erythematosus (SLE) is an important systemic disease with high morbidity and mortality[1]. As one of the causes of secondary vasculitis, this autoimmune inflammatory disease can show a wide variety of systemic manifestations. Major organ involvement of the renal system (lupus nephritis) or of the central nervous system worsens the overall prognosis. Both the central and peripheral nervous system can be affected
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