Intractable hiccup as the initial presenting feature of systemic lupus erythematosus

An infarctus of medulla oblongata was discovered in a 44-year old man with an intractable hiccup and 10, 11th and 12th right cranial nerves palsies. Systemic lupus erythematosus (SLE) with antiphospholipid syndrome was subsequently diagnosed. Hiccup has withdrew with corticosteroid therapy and low-d...

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Bibliographic Details
Published inLupus Vol. 14; no. 5; pp. 406 - 408
Main Authors Delèvaux, I, André, M, Marroun, I, Lamaison, D, Piette, J-C, Aumaître, O
Format Journal Article
LanguageEnglish
Published Thousand Oaks, CA SAGE Publications 01.01.2005
Sage Publications Ltd
Subjects
Accessory Nerve Diseases - complications
Adult
Antiphospholipid Syndrome - complications
Cerebral Infarction - complications
Cerebral Infarction - diagnosis
Hiccup - etiology
Humans
Hypoglossal Nerve Diseases - complications
Lupus Erythematosus, Systemic - complications
Magnetic Resonance Imaging
Male
Medulla Oblongata - blood supply
Medulla Oblongata - pathology
Paralysis - complications
Vagus Nerve Diseases - complications
antiphospholipid syndrome
hiccup
systemic lupus erythematosus
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Summary:An infarctus of medulla oblongata was discovered in a 44-year old man with an intractable hiccup and 10, 11th and 12th right cranial nerves palsies. Systemic lupus erythematosus (SLE) with antiphospholipid syndrome was subsequently diagnosed. Hiccup has withdrew with corticosteroid therapy and low-dose aspirin. The other cases of literature and pathophysiologic hypotheses are briefly reported.
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ISSN:0961-2033
1477-0962
DOI:10.1191/0961203303lu2092cr