Primary Psychiatric Disorder Masking the Diagnosis of Lupus Cerebritis
| Autor: | Zobia Aijaz, Shujaa Faryad, Waqas Memon, Muhammad S Afzal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Nausea 030204 cardiovascular system & hematology Fluid-attenuated inversion recovery 03 medical and health sciences clinical psychiatry 0302 clinical medicine medicine Internal Medicine Psychology skin and connective tissue diseases Autoimmune disease Past medical history business.industry General Engineering cns effects adult neurology medicine.disease systemic lupus erythema Methylprednisolone Neurology Vomiting medicine.symptom Abnormality business Serositis 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that is known to affect different organs in the body. Nervous system involvement is common and can manifest as neurological or neuropsychiatric symptoms. A 23-year-old female with no significant past medical history, presented with nausea and vomiting for two weeks and unusual behavior for three days. Brain magnetic resonance imaging (MRI) showed small vessel ischemic changes and abnormal T2 flair/periventricular signal. Lab workup was positive for anti-dsDNA antibodies. The patient was diagnosed with SLE; positive serology and multisystem involvement including neurologic, serositis, and musculoskeletal system. Acute onset of abnormal behavior and memory problems were attributed to lupus cerebritis. The patient was started on methylprednisolone and had significant improvement in neurologic status within the next two days. |
| Databáze: | OpenAIRE |
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