Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report
Systemic Lupus Erythematosus (SLE) affects various systems in human including central and peripheral nervous systems. The Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) is a severe complication of SLE which causes a formidable challenge in term of diagnosis and its management. Acute confusion...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/16334/52527_CE[Ra1]_F(KR)_PF1(SC_SHU)_PFA(NC_KM)_PN(KM).pdf |
| _version_ | 1811165239964598272 |
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| author | Sambhu Prasad Shikha Jha |
| author_facet | Sambhu Prasad Shikha Jha |
| author_sort | Sambhu Prasad |
| collection | DOAJ |
| description | Systemic Lupus Erythematosus (SLE) affects various systems in human including central and peripheral nervous systems. The Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) is a severe complication of SLE which causes a formidable challenge in term of diagnosis and its management. Acute confusional state (delirium) is a rare entity of numerous symptoms of NPSLE which is being overlooked even though it is associated with increased mortality. The present case report describe about the presentation of SLE consisting of hyperpigmentation maculopapular rashes over face, neck regions, lower back and extremities in a 36-year-old female with abrupt onset and fluctuating course of psychotic symptoms, acute confusional state and oddities in behaviours. Treatment with low dose of antipsychotic (aripiprazole) resolve the symptom with due consideration taken to rule out steroid induced manifestation of above symptoms. |
| first_indexed | 2024-04-10T15:34:05Z |
| format | Article |
| id | doaj.art-09a8e7e60bd74fe592a01dd979b79211 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T15:34:05Z |
| publishDate | 2022-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-09a8e7e60bd74fe592a01dd979b792112023-02-13T08:26:08ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-05-01165VD03VD0510.7860/JCDR/2022/52527.16334Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case ReportSambhu Prasad0Shikha Jha1Assistant Professor, Department of Psychiatry, All India Institute of Medical Sciences, Patna, Bihar, India.Senior Resident, Department of Psychiatry, All India Institute of Medical Sciences, Patna, Bihar, India.Systemic Lupus Erythematosus (SLE) affects various systems in human including central and peripheral nervous systems. The Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) is a severe complication of SLE which causes a formidable challenge in term of diagnosis and its management. Acute confusional state (delirium) is a rare entity of numerous symptoms of NPSLE which is being overlooked even though it is associated with increased mortality. The present case report describe about the presentation of SLE consisting of hyperpigmentation maculopapular rashes over face, neck regions, lower back and extremities in a 36-year-old female with abrupt onset and fluctuating course of psychotic symptoms, acute confusional state and oddities in behaviours. Treatment with low dose of antipsychotic (aripiprazole) resolve the symptom with due consideration taken to rule out steroid induced manifestation of above symptoms.https://www.jcdr.net/articles/PDF/16334/52527_CE[Ra1]_F(KR)_PF1(SC_SHU)_PFA(NC_KM)_PN(KM).pdfantipsychotic treatmentdiagnostic challengefluctuating thinking and behaviour odditieshyperpigmented maculopapular rashes |
| spellingShingle | Sambhu Prasad Shikha Jha Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report Journal of Clinical and Diagnostic Research antipsychotic treatment diagnostic challenge fluctuating thinking and behaviour oddities hyperpigmented maculopapular rashes |
| title | Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report |
| title_full | Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report |
| title_fullStr | Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report |
| title_full_unstemmed | Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report |
| title_short | Acute Confusional State in a Neuropsychiatric Systemic Lupus Erythematosus Patient: A Case Report |
| title_sort | acute confusional state in a neuropsychiatric systemic lupus erythematosus patient a case report |
| topic | antipsychotic treatment diagnostic challenge fluctuating thinking and behaviour oddities hyperpigmented maculopapular rashes |
| url | https://www.jcdr.net/articles/PDF/16334/52527_CE[Ra1]_F(KR)_PF1(SC_SHU)_PFA(NC_KM)_PN(KM).pdf |
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