The unseen onset: myelitis and nephritis as the first clue to juvenile lupus

Sreeja Mogiligari; Vijaya P. Parimi

doi:10.18203/2349-3291.ijcp20251886

Authors

Sreeja Mogiligari Department of Clinical Immunology and Rheumatology, ESIC Medical College, Hyderabad, Telangana, India
Vijaya P. Parimi Department of Clinical Immunology and Rheumatology, ESIC Medical College, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20251886

Keywords:

Unseen onset, Myelitis, Nephritis, Juvenile lupus

Abstract

Juvenile systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder that commonly affects the kidneys and central nervous system. While lupus nephritis and neuropsychiatric manifestations are well-recognized complications, the concurrent onset of lupus nephritis and acute transverse myelitis (ATM) as the initial presentation is exceptionally rare, particularly in the pediatric population. Such an atypical presentation poses significant diagnostic challenges and requires a high index of clinical suspicion to enable early recognition and timely management.

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