We describe the case of a man with a very-late onset neuromyelitis optica spectrum disorder syndrome (NMOSD) who was initially diagnosed as recurrent antiphospholipid syndrome-associated myelitis. This case illustrates that a puzzle of autoreactive antibodies can be detected in patients having neurological syndromes belonging to the NMOSD. Prompt identification and timely immunosuppression prevent relapses and the accumulation of irreversible disability.
Keywords: Antiphospholipid syndrome; Myelitis; Neuromyelitis optica spectrum disorder syndrome.
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