Mielitis longitudinal asociada a lupus eritematoso sistémico

A case is presented of a 33 year-old woman diagnosed with longitudinal myelitis secondary to systemic lupus erythematosus. She presented with paraplegia and hypoesthesia to pain, and temperature sensitivity to dermatome level T6. She was treated with pulses of methylprednisolone and cyclophosphamide, with partial response to treatment. Myelitis is an inflammatory disease that causes injury to the spinal cord. Longitudinal myelitis refers to the continued involvement of the spinal cord, with the involvement of three or more adjacent spinal segments. The treatment consists of high steroid doses, sometimes combined with immunosuppressants and/or plasmapheresis.