Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report

Paul-Cédric Mbonda; Grace Nkoro; Daniel Massi Gams; Yannick Fogang; Callixte Kuate

doi:10.5455/IJMRCR.172-1621660596

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Case Report

Online Publishing Date:
21 / 08 / 2022

Int J Med Rev Case Rep. 2022; 6(12): 56-59

doi: 10.5455/IJMRCR.172-1621660596

Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report

Paul-Cédric Mbonda, Grace Nkoro, Daniel Massi Gams, Yannick Fogang, Callixte Kuate.

Abstract
Systemic lupus erythematosus (SLE) is a chronic autoimmune systemic disease of the connectivity group. This condition particularly affects young women between the ages of 20 and 40. Several systems are affected during the disease, including the nervous system, where central damage is more described than peripheral damage. We report the case of a 15-year-old male teenager with systemic lupus erythematosus whose initial clinical manifestation was acute inflammatory axonal polyneuropathy. This diagnosis was made based on allodynia predominantly in gloves and socks with clinical examination of bilateral peripheral neurogenic syndrome predominant in both lower limbs, all associated with fever. The electroneuromyogram showed signs of sensory and motor impairment (more marked in sensory) of the axonal type in both lower limbs, compatible with polyneuropathy. The patient developed several skin lesions, such as erythematous and scaly patches on the extremities and purpuric macules of the palms of the hands. All the antibodies tested in the blood came back positive, and the skin biopsy described proliferation of vascular capillaries with a fibrous and myxoid wall, dissociated by inflammatory cells, suggesting inflammatory involvement. Under treatment with hydroxychloroquine and corticosteroids, the patient presented a marked improvement in the general condition and on the functional level with regression of sensory and motor disorders.

Key words: polyneuropathy, lupus, teenager, case report

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How to Cite this Article

Pubmed Style

Mbonda P, Nkoro G, Gams DM, Fogang Y, Kuate C. Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. Int J Med Rev Case Rep. 2022; 6(12): 56-59. doi:10.5455/IJMRCR.172-1621660596

Web Style

Mbonda P, Nkoro G, Gams DM, Fogang Y, Kuate C. Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. https://www.mdpub.net/?mno=82987 [Access: April 04, 2024]. doi:10.5455/IJMRCR.172-1621660596

AMA (American Medical Association) Style

Mbonda P, Nkoro G, Gams DM, Fogang Y, Kuate C. Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. Int J Med Rev Case Rep. 2022; 6(12): 56-59. doi:10.5455/IJMRCR.172-1621660596

Vancouver/ICMJE Style

Mbonda P, Nkoro G, Gams DM, Fogang Y, Kuate C. Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. Int J Med Rev Case Rep. (2022), [cited April 04, 2024]; 6(12): 56-59. doi:10.5455/IJMRCR.172-1621660596

Harvard Style

Mbonda, P., Nkoro, . G., Gams, . D. M., Fogang, . Y. & Kuate, . C. (2022) Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. Int J Med Rev Case Rep, 6 (12), 56-59. doi:10.5455/IJMRCR.172-1621660596

Turabian Style

Mbonda, Paul-Cédric, Grace Nkoro, Daniel Massi Gams, Yannick Fogang, and Callixte Kuate. 2022. Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. International Journal of Medical Reviews and Case Reports, 6 (12), 56-59. doi:10.5455/IJMRCR.172-1621660596

Chicago Style

Mbonda, Paul-Cédric, Grace Nkoro, Daniel Massi Gams, Yannick Fogang, and Callixte Kuate. "Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report." International Journal of Medical Reviews and Case Reports 6 (2022), 56-59. doi:10.5455/IJMRCR.172-1621660596

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Mbonda, P., Nkoro, . G., Gams, . D. M., Fogang, . Y. & Kuate, . C. (2022) Axonal polyneuropathy as initial presentation of lupus in a 15-year-old male teenager - Case report. International Journal of Medical Reviews and Case Reports, 6 (12), 56-59. doi:10.5455/IJMRCR.172-1621660596

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