Lupus & antiphospholipid syndrome

Overlap syndrome of anti-aquaporin-4 positive neuromyelitis optica spectrum disorder and systemic lupus erythematosus: A systematic review of individual patient data

LupusPublished Systematic review of individual patient data

Authors' conclusion

AQP4+NMOSD in SLE patients is a relapsing and neurologically disabling disorder that can mimic neuropsychiatric manifestations, frequently occurs after the onset of lupus or may predate, responds to immunosuppressants, and necessitates indefinite treatment.

Study context

Population
Patients with AQP4+ neuromyelitis optica spectrum disorder (NMOSD) and systemic lupus erythematosus (SLE) overlap (AQP4 or NMO positivity in blood and/or cerebrospinal fluid (CSF), ≥1 manifestation of both NMOSD and SLE)case reports/series
Participants
46 patients
Outcome
Clinical features and course of AQP4+ NMOSD/SLE overlap
Methodological detailscase reports and case series
  • Case reports and case series

Pooled result

As reported in the abstract

Female
42 out of 46 patients (91.3%)
NMOSD onset after lupus
47.8%
Median time between the two diagnoses
5 years
Hematological manifestations
63%
Longitudinally extensive transverse myelitis
87%
Brainstem involvement on imaging
29.6%
Relapsing course in the majority; monophasic course
one patient

Original publication

Overlap syndrome of anti-aquaporin-4 positive neuromyelitis optica spectrum disorder and systemic lupus erythematosus: A systematic review of individual patient data. Lupus. Published 24 July 2023. doi:10.1177/09612033231191180

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