Systemic lupus erythematosus with recurrent cerebral infarction as the first symptom: A Case Report

Yu Shen, Qian Cao, Lijun Xu^*

Department of Neurology, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China, 3 30006

Introduction: Systemic lupus erythematosus(SLE) with recurrent cerebral infarction is rarely reported. It is difficult to diagnose of SLE according to the initial symptoms.   

Material and method: We admitted a 70-year-old woman who first symptom was muscle strength diminished and inarticulation.Imaging suggests cerebral infarction.Besides,she had a cerebral infarction again during the hospitalization,just found several tumour indicators abnormally elevated and Lupus-related antibody positive. Underwent exclusivity laboratory and diagnostic tests,neuropsychiatric syndromes of SLE was considered.The patient had discharged from the Division of Rheumatology with  improvement of the health condition.and regular follow-up visits in long-term outpatient clinics.

Result and conclusion: The purpose of this report is to draw the attention of clinicians to patients with recurrent cerebral infarction as the first symptom. At the same time, a reference case is given in treatment. Systemic lupus erythematosus encephalopathy is difficult to diagnose based on the first manifestation. The role of abnormal tumor indicators in SLE needs to be further explored.