Mrabet S, Benrhouma H, Kraoua I, Naas A, Achour NB, Klaa H, Turki I. Mixed movements disorders as an initial feature of pediatric lupus.
Brain Dev 2015;
37:904-6. [PMID:
25736974 DOI:
10.1016/j.braindev.2015.01.008]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Revised: 11/07/2014] [Accepted: 01/30/2015] [Indexed: 10/23/2022]
Abstract
UNLABELLED
Systemic lupus erythematosus (SLE) is an immunologic disease of the early adulthood. In children, SLE is rare and neurological onset is uncommon. We report on an observation of pediatric lupus in heterozygous twins revealed by mixed movement disorders.
CASE REPORT
An 8-year-old boy, born to non consanguineous parents, with a family history of depression and a personal history of macular eruption, inflammatory polyarthralgias and a recurrent angina presented with acute movement and mood disorders. Neurological exam showed mild generalized choreic movements with motor and vocal tics. Antinuclear antibodies were positive. Brain MRI was normal. One year after, his twin brother presented with the same features.
DISCUSSION
Movement disorders are described in pediatric lupus but are unusual as inaugural features of the disease. In SLE, movement disorders such as chorea are usually reported. However, Tics seem to be exceptional. Pathophysiology remains unclear. Early onset and familial form support genetic implication in the pathogenesis of lupus.
CONCLUSION
Immune-mediated movement disorders such as in SLE are an established cause of acute movement disorders in child.
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