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Ann Indian Acad Neurol. 2015 Sep;18:S56-8. doi: 10.4103/0972-2327.164830.

Multisystem involvement in neuromyelitis optica.

Annals of Indian Academy of Neurology

Megan M Langille, Jay Desai

Affiliations

  1. Division of Neurology, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California, USA.

PMID: 26538850 PMCID: PMC4604699 DOI: 10.4103/0972-2327.164830

Abstract

We describe a case of pediatric neuromyelitis optica (NMO) with muscle and lung involvement in addition to central nervous system disease. Our patient initially presented with features of area postrema syndrome, then subsequently with optic neuritis. The patient also had recurrent hyperCKemia that responded to corticosteroids. Finally, axillary and hilar adenopathy with pulmonary consolidation were noted as well and responded to immunomodulation. Our case highlights multisystem involvement in NMO including non-infectious pulmonary findings which have not been described in the pediatric population previously.

Keywords: Adenopathy; NMO; hyperCKemia; lung consolidation; neuromyelitis optica

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