In the context of SLE, longitudinally extensive cord signal abnormality with smooth mild leptomeningeal enhancement most likely represents SLE related transverse myelitis or NMO spectrum disorder. Viral/post viral transverse myelitis is also a differential.
- ESR 97 (2-12)
- double stranded DNA antibodies 358 IU/mL (0-4)
- C3/C4 low
- EBV/CMV/HBV/mycoplasma/HIV serology - no evidence infection
- NMO serology - negative