Transverse myelitis is an uncommon but well-known neurologic complication of systemic lupus erythematosus, and antiphospholipid antibodies have been implicated as having a pathogenic role of myelopathy in primary and secondary antiphospholipid syndrome. Transverse myelitis usually is monophasic, but recurrent transverse myelitis was reported in association with systemic lupus erythematosus, multiple sclerosis, and spinal arteriovenous malformations. It has been reported extremely rarely in patients with primary antiphospholipid syndrome. Herein we describe a patient with both conditions and propose that recurrent transverse myelitis should be included as a very rare feature of primary antiphospholipid syndrome.

Dermatomyositis (DM) is rare during the reproductive period, but when it does occur most reports have noted that it has an adverse effect on fetal outcome. Conversely, there is little information concerning the contribution of pregnancy to the development and course of DM. We describe here a patient with DM that developed after delivery of an infant and summarize previously documented cases of postpartum-onset DM. This case suggests that pregnancy could be a trigger for the development of DM.

Dementia is a very rare neurological manifestation of systemic lupus erythematosus (SLE) and has a deep link with antiphospholipid antibodies (APL) and cerebral infarction in its development. However, nonvascular dementia irrelevant to APL or cerebral infarction has not been reported in patients with SLE until now. We describe a case of reversible dementia in an SLE patient without APL or cerebral infarction which was successfully treated with corticosteroid and cyclophosphamide. There are two significant points in this case. One is that humoral factors other than APL might be involved in the development of dementia. Secondly, reversible dementia without APL or cerebral infarction may respond more favorably to immunosuppressive therapy.

Austenitic stainless components used in nuclear fusion reactors must be capable of maintaining reasonable mechanical properties to thermal ageing caused by welding and in‐service. Recently, high‐nitrogen (High‐N) austenitic stainless steels (SS) are receiving increased attention because of their strength advantages, but they have been found to be susceptible to dichromium nitride (Cr2N) precipitation during thermal exposure at 823–1073 K. The susceptibility to sensitisation at thermal ageing temperature for high‐N austenitic SS is examined using the single‐loop electrochemical potentiokinetic reactivation (EPR) test. High‐N SS were found to be susceptible to sensitisation caused by grain boundary precipitation of Cr2N, with the degree of sensitisation increasing systematically with ageing time and temperature. In particular, it was found that the precipitates, which effected sensitisation, were changed from carbides (M23C6) to nitrides (Cr2N) with increasing ageing time and temperature. The deterioration of mechanical properties associated with thermal ageing in high‐N SS was investigated by a small punch (SP) test using miniature specimens at cryogenic temperatures. Results indicated that the degradation of mechanical properties in this alloy was caused by a decrease of cohesive strength resulting from carbides (Cr23C6) and nitrides (Cr2N) precipitated in grain boundaries.