Systemic lupus erythematosus - CNS vasculitis

Discussion:

Rheumatological markers for systemic lupus erythematosus (SLE) were positive and indicated active disease.

Diagnosis of CNS vasculitis was made clinically and the risk of brain biopsy vs trial of steroids was weighed. The patient decided to trial of steroids and immunosuppressants.

After 2 months, the patient showed dramatic improvement clinically and on imaging after treatment with steroids and rituximab.

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