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Case Reports in Rheumatology
Volume 2016, Article ID 5827860, 4 pages
http://dx.doi.org/10.1155/2016/5827860
Case Report

Concomitant Guillain Barre Syndrome and Transverse Myelitis as Initial Neuropsychiatric Manifestation in a Case of Lupus: A Diagnostic Quandary

1Department of Medicine, PGIMER and Dr. RML Hospital, New Delhi 110001, India
2Rheumatology Clinic, Department of Medicine, PGIMER and Dr. RML Hospital, New Delhi 110001, India

Received 29 February 2016; Accepted 17 April 2016

Academic Editor: Mehmet Soy

Copyright © 2016 Anshuman Srivastava et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Neuropsychiatric manifestations of systemic lupus erythematosus are varied. Presently nineteen in number, they are classified as whether affecting the central or the peripheral compartments of the nervous system. Its diagnosis however remains difficult, more so when two or more of the syndromes are found concomitantly in the same patient and when they occur in absence of the more classical rash, serositis, and haematological manifestations. We present a case of lupus where myelopathy as well as demyelination existed simultaneously as the initial neurologic manifestation.