Transverse myelitis is common in lupus. This case is unusual in that it is associated with chronic urticaria (itching) in a 40-year old woman.

dos Santos VM, Correia Garcia E, Leao Rabelo F, Menezes Haase Lobo GE and Santos Damasceno MA (2005). Transverse myelitis and chronic urticaria in systemic lupus erythematosus. Case report. Rev Med Chil 133: 209-13. We report a 40 years old woman with chronic urticaria and acute transverse myelitis associated with systemic lupus erythematosus. The urticaria appeared in her adolescence and after 26 years was followed by photosensitivity, peripheral polyarthritis and acute transverse myelitis, with positive antiphospholipid and antinuclear antibodies. Both chronic urticaria and acute transverse myelitis have been described associated with or appearing as the first manifestation of systemic lupus erythematosus. Transverse myelitis is a rare and still poorly understood condition reported in about 2% of patients with systemic lupus. Catholic University Medical Course and Department of Internal Medicine, Armed Forces Hospital, Brasilia-DF, Brazil.