인플루엔자 백신 접종 이후 소뇌실조로 나타난 전신홍반루푸스
Systemic Lupus Erythematous Presenting With Cerebellar Ataxia After Influenza Vaccination
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초록
Neurological manifestations are commonly observed in systemic lupus erythematosus (SLE). However, cerebellar involvement has rarely been reported. We report a case of SLE presented with cerebellar ataxia as an initial manifestation after influenza vaccination. A 38-year-old woman who had not been diagnosed with SLE presented with dysarthria and gait disturbance after influenza vaccination. On admission, cerebellar ataxia and bilateral sixth cranial nerve palsy were observed. Influenza vaccination may have triggered autoimmunity in the patient with SLE.
Abstract
Neurological manifestations are commonly observed in systemic lupus erythematosus (SLE). However, cerebellar involvement has rarely been reported. We report a case of SLE presented with cerebellar ataxia as an initial manifestation after influenza vaccination. A 38-year-old woman who had not been diagnosed with SLE presented with dysarthria and gait disturbance after influenza vaccination. On admission, cerebellar ataxia and bilateral sixth cranial nerve palsy were observed. Influenza vaccination may have triggered autoimmunity in the patient with SLE.
참고문헌 (10)
- Hahn BH, "Systemic lupus erythematosus. In Harrison’s principle of internal medicine. 17th ed", pp.2075~2083 (2008), New York: Mcgraw-Hill
- Del Porto F, "Influenza vaccine administration in patients with systemic lupus erythematosus and rheumatoid arthritis. Safety and immunogenicity", Vaccine, 24, pp.3217~3223 (2006)
- Aron-Maor A, "Vaccination and systemic lupus erythematosus: the bidirectional dilemmas", Lupus, 10, pp.237~240 (2001)
- van Dam AP, "Diagnosis and pathogenesis of CNS lupus", Rheumatol Int, 11, pp.1~11 (1991)
- Appenzeller S, "Cerebellar ataxia in systemic lupus erythematosus", Lupus, 17, pp.1122~1126 (2008)
- Yaginuma M, "Acute cerebellar ataxia of a patient with SLE", Clin Neurol Neurosurg, 102, pp.37~39 (2000)
- Fox RA, "Disseminated lupus erythematosus-an allergic disease", Arch Pathol, 36, pp.311~315 (1943)
- Ayvazian LF, "Disseminated lupus erythematosus occurring among student nurses", N Engl J Med, 239, pp.565~570 (1948)
- Tudela P, "Systemic lupus erythematosus and vaccination against hepatitis B", Nephron, 62, pp.236~ (1992)
- Turkoglu R, "Brainstem encephalitis following influenza vaccination: favorable response to steroid treatment", Vaccine, 27, pp.7253~7256 (2009)