Table 1.
Characteristics of subjects with SLE myelitis, SLE + NMO, and SLE + MS at neurologic event presentation
SLE myelitis (n=7) | SLE + NMO (n=3) | SLE + MS (n=5) | p-value | |
---|---|---|---|---|
Demographic Characteristics | ||||
Age, mean ± SD years | 41 ± 10 | 46 ± 14 | 40 ± 13 | 0.80 |
Sex | 0.67 | |||
Female | 5 (71) | 3 (100) | 5 (100) | |
Male | 2 (29) | 0 (0) | 0 (0) | |
Racea | 1.00 | |||
White | 6 (86) | 3 (100) | 5 (100) | |
Black | 1 (14) | 0 (0) | 0 (0) | |
Years since SLE onset, mean ± SD | 10 ± 11 | 22 ± 15 | 16 ± 3 | 0.23 |
Clinical Characteristics | ||||
SLE flare | 3 (43) | 0 (0) | 0 (0) | 0.25 |
Median SLEDAI-2K score (IQR) | 8 (7–16) | 6 (0–14) | 2 (0–4) | 0.02 |
Sensory loss | 6 (86) | 1 (33) | 3 (60) | 0.39 |
Weakness | 4 (57) | 2 (67) | 1 (20) | 0.41 |
Bowel or bladder symptoms | 3 (60) | 1 (33) | 1 (20) | 0.77 |
Optic neuritis | 2 (29) | 2 (67) | 0 (0) | 0.13 |
Laboratory Characteristics | ||||
Elevated anti-dsDNA antibody | 6 (86) | 1 (33) | 0 (0) | 0.03 |
Hypocomplementemia | 4 (57) | 1 (33) | 1 (33) | 1.00 |
Antiphospholipid antibody positive | 5 (71) | 0 (0) | 1 (20) | 0.15 |
Median ESR in mm/hr (IQR)b | 19 (12–45) | 22 (13–34) | 11 (5–20) | 0.24 |
Median CRP in mg/L (IQR)b | 7 (2–13) | 5 (2–8) | 0.6 (0.6–2) | 0.07 |
Oligoclonal bands in CSF | 2(67) | 0 (0) | 2 (100) | 0.23 |
MRI Characteristics | ||||
Single spinal lesion | 5 (71) | 1 (50) | 1 (25) | 0.39 |
Contrast-enhancing lesion(s) | 4 (67) | 1 (50) | 1 (25) | 0.48 |
Longitudinally extensive myelitisc | 2 (29) | 1 (50) | 1 (25) | 1.00 |
SLE=systemic lupus erythematosus; NMO=neuromyelitis optica; MS=multiple sclerosis; SD=standard deviation; SLEDAI-2K= SLE Disease Activity Index 2000; IQR=interquartile range; dsDNA=double-stranded deoxyribonucleic acid; ESR=erythrocyte sedimentation rate; mm/hr=millimeters per hour; CRP=C-reactive protein; mg/L=milligrams per liter; CSF=cerebrospinal fluid; MRI=magnetic resonance imaging.
All patients were non-Hispanic.
Reference range for ESR is 0–20 mm/hr. Reference range for CRP is 0–8.0 mg/L.
Longitudinal extension: involving ≥3 vertebral segments.