{"id":"https://openalex.org/W4400523623","doi":"https://doi.org/10.35787/jimdc.v13i2.1074","title":"Systemic Lupus Erythematosus Presenting As Mixed Sensori-motor Axonal Polyneuropathy","display_name":"Systemic Lupus Erythematosus Presenting As Mixed Sensori-motor Axonal Polyneuropathy","publication_year":2024,"publication_date":"2024-07-11","ids":{"openalex":"https://openalex.org/W4400523623","doi":"https://doi.org/10.35787/jimdc.v13i2.1074"},"language":"en","primary_location":{"id":"doi:10.35787/jimdc.v13i2.1074","doi":"https://doi.org/10.35787/jimdc.v13i2.1074","is_oa":true,"landing_page_url":"https://doi.org/10.35787/jimdc.v13i2.1074","pdf_url":"https://jimdc.org.pk/index.php/JIMDC/article/download/1074/1011","source":{"id":"https://openalex.org/S4210198863","display_name":"Journal of Islamabad Medical & Dental College","issn_l":"2227-3875","issn":["2227-3875","2707-0484"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Islamabad Medical &amp; Dental College","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://jimdc.org.pk/index.php/JIMDC/article/download/1074/1011","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111004733","display_name":"Mutahra Khaliq","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802129268","display_name":"Bahawal Victoria Hospital","ror":"https://ror.org/00m9ba392","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2802129268"]},{"id":"https://openalex.org/I4405273397","display_name":"Quaid-e-Azam Medical College","ror":"https://ror.org/05rxs6b95","country_code":"PK","type":"education","lineage":["https://openalex.org/I4405273397"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Mutahra Khaliq","raw_affiliation_strings":["Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan","institution_ids":["https://openalex.org/I2802129268","https://openalex.org/I4405273397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091670483","display_name":"Nauman Ismat Butt","orcid":"https://orcid.org/0000-0003-1022-0157","observed_orcids":["https://orcid.org/0000-0003-1022-0157"]},"institutions":[{"id":"https://openalex.org/I4210100043","display_name":"Superior University","ror":"https://ror.org/00yh88643","country_code":"PK","type":"education","lineage":["https://openalex.org/I4210100043"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Nauman Ismat Butt","raw_affiliation_strings":["Azra Naheed Medical College, Superior University Lahore Pakistan"],"raw_orcid":"https://orcid.org/0000-0003-1022-0157","affiliations":[{"raw_affiliation_string":"Azra Naheed Medical College, Superior University Lahore Pakistan","institution_ids":["https://openalex.org/I4210100043"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009580876","display_name":"Muhammad Sohail Ajmal Ghoauri","orcid":"https://orcid.org/0009-0009-2123-8409","observed_orcids":["https://orcid.org/0009-0009-2123-8409"]},"institutions":[{"id":"https://openalex.org/I2802129268","display_name":"Bahawal Victoria Hospital","ror":"https://ror.org/00m9ba392","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2802129268"]},{"id":"https://openalex.org/I4405273397","display_name":"Quaid-e-Azam Medical College","ror":"https://ror.org/05rxs6b95","country_code":"PK","type":"education","lineage":["https://openalex.org/I4405273397"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muhammad Sohail Ajmal Ghoauri","raw_affiliation_strings":["Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan","institution_ids":["https://openalex.org/I2802129268","https://openalex.org/I4405273397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108842493","display_name":"Fahad Qaisar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802129268","display_name":"Bahawal Victoria Hospital","ror":"https://ror.org/00m9ba392","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2802129268"]},{"id":"https://openalex.org/I4405273397","display_name":"Quaid-e-Azam Medical College","ror":"https://ror.org/05rxs6b95","country_code":"PK","type":"education","lineage":["https://openalex.org/I4405273397"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Fahad Qaisar","raw_affiliation_strings":["Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan","institution_ids":["https://openalex.org/I2802129268","https://openalex.org/I4405273397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103307221","display_name":"Tayyaba Hashmi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802129268","display_name":"Bahawal Victoria Hospital","ror":"https://ror.org/00m9ba392","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2802129268"]},{"id":"https://openalex.org/I4405273397","display_name":"Quaid-e-Azam Medical College","ror":"https://ror.org/05rxs6b95","country_code":"PK","type":"education","lineage":["https://openalex.org/I4405273397"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Tayyaba Hashmi","raw_affiliation_strings":["Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan","institution_ids":["https://openalex.org/I2802129268","https://openalex.org/I4405273397"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101841196","display_name":"Sabir Ali","orcid":"https://orcid.org/0009-0003-1154-0731","observed_orcids":["https://orcid.org/0009-0003-1154-0731"]},"institutions":[{"id":"https://openalex.org/I2802129268","display_name":"Bahawal Victoria Hospital","ror":"https://ror.org/00m9ba392","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I2802129268"]},{"id":"https://openalex.org/I4405273397","display_name":"Quaid-e-Azam Medical College","ror":"https://ror.org/05rxs6b95","country_code":"PK","type":"education","lineage":["https://openalex.org/I4405273397"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Sabir Ali","raw_affiliation_strings":["Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bahawal Victoria Hospital, Quaid-e-Azam Medical College Bahawalpur Pakistan","institution_ids":["https://openalex.org/I2802129268","https://openalex.org/I4405273397"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2466,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.46992126,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"13","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11735","display_name":"Peripheral Neuropathies and Disorders","score":0.031599998474121094,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/systemic-lupus-erythematosus","display_name":"systemic lupus erythematosus","score":1.0},{"id":"https://openalex.org/keywords/axonal-polyneuropathy","display_name":"axonal neuropathy","score":0.9309999942779541},{"id":"https://openalex.org/keywords/lower-limb-weakness","display_name":"lower limb weakness","score":0.7829999923706055},{"id":"https://openalex.org/keywords/peripheral-neuropathy","display_name":"peripheral neuropathy","score":0.5889999866485596},{"id":"https://openalex.org/keywords/anti-ssa-antibodies","display_name":"anti-SSA antibodies","score":0.7310000061988831},{"id":"https://openalex.org/keywords/anti-dsdna-antibodies","display_name":"anti-dsDNA antibodies","score":0.7710000276565552},{"id":"https://openalex.org/keywords/anti-sm-antibodies","display_name":"anti-Sm antibodies","score":0.8709999918937683},{"id":"https://openalex.org/keywords/complement-c3-and-c4","display_name":"complement C3 and C4","score":0.574999988079071},{"id":"https://openalex.org/keywords/plasmapheresis","display_name":"plasmapheresis","score":0.8690000176429749},{"id":"https://openalex.org/keywords/hydroxychloroquine","display_name":"hydroxychloroquine","score":0.8619999885559082},{"id":"https://openalex.org/keywords/azathioprine","display_name":"azathioprine","score":0.8500000238418579},{"id":"https://openalex.org/keywords/oral-ulcers","display_name":"oral ulcers","score":0.5609999895095825},{"id":"https://openalex.org/keywords/dry-eye-disease","display_name":"dry eye","score":0.4490000009536743}],"concepts":[{"id":"https://openalex.org/C2775892965","wikidata":"https://www.wikidata.org/wiki/Q1502312","display_name":"Polyneuropathy","level":2,"score":0.731242299079895},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5807974338531494},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.48563042283058167},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.22769030928611755}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.35787/jimdc.v13i2.1074","doi":"https://doi.org/10.35787/jimdc.v13i2.1074","is_oa":true,"landing_page_url":"https://doi.org/10.35787/jimdc.v13i2.1074","pdf_url":"https://jimdc.org.pk/index.php/JIMDC/article/download/1074/1011","source":{"id":"https://openalex.org/S4210198863","display_name":"Journal of Islamabad Medical & Dental College","issn_l":"2227-3875","issn":["2227-3875","2707-0484"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Islamabad Medical &amp; Dental College","raw_type":"journal-article"},{"id":"pmh:oai:ojs2.jimdc.org.pk:article/1074","doi":null,"is_oa":true,"landing_page_url":"https://jimdc.org.pk/index.php/JIMDC/article/view/1074","pdf_url":null,"source":{"id":"https://openalex.org/S4210198863","display_name":"Journal of Islamabad Medical & Dental College","issn_l":"2227-3875","issn":["2227-3875","2707-0484"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2227-3875","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.35787/jimdc.v13i2.1074","doi":"https://doi.org/10.35787/jimdc.v13i2.1074","is_oa":true,"landing_page_url":"https://doi.org/10.35787/jimdc.v13i2.1074","pdf_url":"https://jimdc.org.pk/index.php/JIMDC/article/download/1074/1011","source":{"id":"https://openalex.org/S4210198863","display_name":"Journal of Islamabad Medical & Dental College","issn_l":"2227-3875","issn":["2227-3875","2707-0484"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Islamabad Medical &amp; Dental College","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4400523623.pdf","grobid_xml":"https://content.openalex.org/works/W4400523623.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1970265308","https://openalex.org/W2046084066","https://openalex.org/W2049025763","https://openalex.org/W2106518465","https://openalex.org/W2114502919","https://openalex.org/W2136049573","https://openalex.org/W2147067943","https://openalex.org/W2937087541","https://openalex.org/W2969295744","https://openalex.org/W2989717470","https://openalex.org/W3004709581","https://openalex.org/W3111420086","https://openalex.org/W3130504974","https://openalex.org/W4214560540","https://openalex.org/W4386620043","https://openalex.org/W4386757886","https://openalex.org/W4391699013"],"related_works":["https://openalex.org/W4293070557","https://openalex.org/W2742616018","https://openalex.org/W2969295744","https://openalex.org/W7143323296","https://openalex.org/W4206737332","https://openalex.org/W2400858148","https://openalex.org/W2091035087","https://openalex.org/W2744408987","https://openalex.org/W2914894766","https://openalex.org/W4391326994"],"abstract_inverted_index":{"Systemic":[0],"Lupus":[1],"Erythematosus":[2],"(SLE)":[3],"is":[4,15],"an":[5],"autoimmune":[6],"disease":[7],"that":[8],"has":[9],"multisystem":[10],"manifestations.":[11],"However,":[12],"axonal":[13,119],"polyneuropathy":[14],"rare":[16],"in":[17],"SLE.":[18],"We":[19],"report":[20],"the":[21,98],"case":[22],"of":[23,52,83,92],"a":[24],"41-years":[25],"old":[26],"lady":[27],"who":[28],"presented":[29],"with":[30,43,90,106,135,160],"gradual":[31],"onset,":[32],"progressively":[33],"worsening":[34],"bilateral":[35],"lower":[36,84],"limb":[37],"weakness":[38],"for":[39],"1":[40],"month":[41],"along":[42],"tingling,":[44],"prickling":[45],"and":[46,62,76,110,128,141,152,158],"burning":[47],"sensation.":[48],"There":[49],"was":[50,148],"history":[51],"dry":[53,57,70],"eyes,":[54],"oral":[55,67,72],"ulcers,":[56,73],"mouth,":[58],"dental":[59,74],"caries,":[60],"lethargy":[61],"fatigue.":[63],"On":[64],"examination,":[65],"poor":[66],"hygiene,":[68],"coarse":[69],"tongue,":[71],"caries":[75],"conjunctival":[77],"pallor":[78],"were":[79,133],"noted.":[80],"Neurological":[81],"examination":[82],"limbs":[85],"revealed":[86,116],"flaccid":[87],"LMNL":[88],"paralysis":[89],"paresthesia":[91],"both":[93],"feet":[94],"extending":[95],"up":[96],"to":[97],"mid-shin":[99],"level.":[100],"She":[101,147],"had":[102],"normochromic":[103],"normocytic":[104],"anemia":[105],"hemoglobin":[107],"10.8":[108],"g/dl":[109],"raised":[111],"ESR":[112],"40":[113],"mm/hour.":[114],"NCS":[115],"mixed":[117],"sensori-motor":[118],"polyneuropathy.":[120],"ANA,":[121],"anti-DsDNA":[122],"(138":[123],"IU/ml),":[124],"Anti-Sm":[125],"(>200":[126],"U/ml)":[127,132],"anti-Ro/SSA":[129],"antibodies":[130],"(146":[131],"positive":[134],"low":[136,142],"serum":[137,143],"C3":[138],"(29.3":[139],"mg/dl)":[140],"C4":[144],"(07":[145],"mg/dl).":[146],"diagnosed":[149],"as":[150],"SLE":[151],"started":[153],"on":[154],"plasmapheresis,":[155],"steroids,":[156],"hydroxycholoroquine":[157],"azathioprine":[159],"marked":[161],"improvement":[162],"at":[163],"follow-up.":[164]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2024-07-12T00:00:00"}
