{"id":7451,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"%d1%81%d0%b8%d0%bc%d0%bc%d0%b5%d1%82%d1%80%d0%b8%d1%87%d0%bd%d1%8b%d0%b5-%d0%bf%d0%be%d1%80%d0%b0%d0%b6%d0%b5%d0%bd%d0%b8%d1%8f-%d0%b1%d0%b5%d0%bb%d0%be%d0%b3%d0%be-%d0%b2%d0%b5%d1%89%d0%b5%d1%81","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/ru\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus\/","title":{"rendered":"\u0421\u0438\u043c\u043c\u0435\u0442\u0440\u0438\u0447\u043d\u043e\u0435 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u0431\u0435\u043b\u043e\u0433\u043e \u0432\u0435\u0449\u0435\u0441\u0442\u0432\u0430 \u0443 \u0431\u043e\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u0438\u0441\u0442\u0435\u043c\u043d\u043e\u0439 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\u0431\u0435\u043b\u044b\u0439\u2026<\/p>","protected":false},"author":2,"featured_media":7452,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/symmetrical-white-matter-lesions-in-a-patient-with-systemic-lupus-erythematosus.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7451","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Symmetrical white matter lesions in a patient with systemic lupus erythematosus - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/ru\/\u0441\u0438\u043c\u043c\u0435\u0442\u0440\u0438\u0447\u043d\u044b\u0435-\u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u044f-\u0431\u0435\u043b\u043e\u0433\u043e-\u0432\u0435\u0449\u0435\u0441\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Symmetrical white matter lesions in a patient with systemic lupus erythematosus - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A 16-year-old girl presented with two episodes of headache, neck pain and vomiting in the last 4 months. In the first episode, she was treated with antibiotics for 5 days following which steroids were added, as her symptoms did not resolve. She had aggravation of symptoms when steroids were tapered with additional right lateral rectus palsy and left knee joint swelling. She had intermittent exertional dyspnoea, photosensitive rashes on cheeks, weight loss, pallor and clubbing. She had 4\/5 power at bilateral hip joints. MRI brain showed confluent bilaterally symmetrical T2 hyperintensities in periventricular, subcortical and deep white matter which was reported to be suggestive of leukodystrophy (figure 1A). Cerebrospinal fluid (CSF) examination showed high pressure of 37 mm Hg with nil cells and normal glucose and protein. CSF malignant cytology was negative. John Cunningham, Cytomegalovirus and BK virus DNA in CSF was not detectable. HIV ELISA was negative. 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