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This report aims to highlight dermatomal pruritus as an atypical early symptom in neuromyelitis optica spectrum disorder (NMOSD).

Dermatomal pruritus as a heralding symptom in AQP4-positive LETM with anti-Ro52 positivity

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This report aims to highlight dermatomal pruritus as an atypical early symptom in neuromyelitis optica spectrum disorder (NMOSD).
Observed a case of a middle-aged woman with dermatological and motor symptoms.
Conducted neurological examination revealing upper limb weakness.
Utilized MRI spine to identify lesions indicating LETM.
Performed serological testing for antibodies, including anti-aquaporin-4 and anti-Ro52.
Patient presented with 5-day history of dermatomal itching before motor symptoms.
MRI findings showed a longitudinally extensive T2 hyperintense lesion in the spinal cord.
Confirmed dual positivity for anti-aquaporin-4 and anti-Ro52 antibodies.

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A case highlights dermatomal pruritus as an early indicator of motor deficit in neuromyelitis optica spectrum disorder.

Kinkar et al. (2026) studied this question.

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