Journal
LUPUS
Volume 17, Issue 11, Pages 1029-1032Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0961203308089435
Keywords
demyelinating disease; leucoencephalopathy; PML; systemic lupus erythematosus; viral infections
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Progressive multifocal leucoencephalopathy (PML) is a CNS infection of oligodendrocytes by JC virus, which rarely occurs in lupus, and can be mistaken for antiphospholipid antibody syndrome or neuropsychiatric systemic lupus erythematosus (NSLE). This case of PML in a patient with systemic lupus erythematosus on supra-therapeutic doses of methotrexate emphasises that CNS infection is an important diagnostic consideration before empiric treatment with immunosuppresants for NSLE. Lupus (2008) 17, 1029-1032.
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