Devic’s syndrome in systemic lupus erythematosus and probable antiphospholipid syndrome: reply
نویسنده
چکیده
ineffective for relapse prevention in NMO and severe refractory attacks in NMO usually necessitate rescue plasmapheresis or more effective immunosuppressive therapies [3]. In the management of this suspected case of NMO, the authors made use of investigatory tools such as cerebrospinal fluid analysis and MRI of the brain/spinal cord in diagnosis. However, as indicated by de Seze et al. [2], even when all these investigatory armaments are summoned there is still the pitfall of misdiagnosis and the inability to distinguish the two. Recently, using the technique of dual immunostaining, Lennon et al. [4] have demonstrated that a serum autoantibody marker, NMO-IgG, is highly specific for neuromyelitis optica and can significantly curtail the diagnostic ambiguity. Perhaps, with the aid of a specific autoantibody marker, the management of this patient might have been more streamlined.
منابع مشابه
Oral contraceptive-related transverse sinus thrombosis as an initial manifestation of antiphospholipid syndrome in the absence of systemic lupus erythematosus
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