Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation
Systemic lupus erythematosus (SLE) is an autoimmune disease-causing inflammatory tissue damage with multiple organ involvement. We report a 12-year-old girl who presented with 6-month history of high-grade intermittent fever and weight loss, psychiatric symptoms beginning 10 days before admission, a...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Archives of Medicine and Health Sciences |
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Online Access: | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2023;volume=11;issue=1;spage=145;epage=147;aulast=Kulkarni |
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author | Rajesh Kulkarni Rhea Singh Himanshu Gohatre Sabahat Ahmed Palash Sangai Deepali Ambike |
author_facet | Rajesh Kulkarni Rhea Singh Himanshu Gohatre Sabahat Ahmed Palash Sangai Deepali Ambike |
author_sort | Rajesh Kulkarni |
collection | DOAJ |
description | Systemic lupus erythematosus (SLE) is an autoimmune disease-causing inflammatory tissue damage with multiple organ involvement. We report a 12-year-old girl who presented with 6-month history of high-grade intermittent fever and weight loss, psychiatric symptoms beginning 10 days before admission, and generalized tonic–clonic seizure 4 days before admission to our hospital. Investigation excluded infectious etiology. Immunological workup revealed high titer of antinuclear and anti-double-stranded DNA antibodies. She was treated with steroids and azathioprine and responded well to treatment. It is important to have a very high index of suspicion for the diagnosis of SLE for early diagnosis, treatment, and meticulous monitoring. |
first_indexed | 2024-03-12T22:33:49Z |
format | Article |
id | doaj.art-b24b2697b91b4e4cae09ad4ff2aab9c9 |
institution | Directory Open Access Journal |
issn | 2321-4848 |
language | English |
last_indexed | 2024-03-12T22:33:49Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Archives of Medicine and Health Sciences |
spelling | doaj.art-b24b2697b91b4e4cae09ad4ff2aab9c92023-07-21T14:21:31ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482023-01-0111114514710.4103/amhs.amhs_24_23Juvenile systemic lupus erythematosus with primary neuropsychiatric presentationRajesh KulkarniRhea SinghHimanshu GohatreSabahat AhmedPalash SangaiDeepali AmbikeSystemic lupus erythematosus (SLE) is an autoimmune disease-causing inflammatory tissue damage with multiple organ involvement. We report a 12-year-old girl who presented with 6-month history of high-grade intermittent fever and weight loss, psychiatric symptoms beginning 10 days before admission, and generalized tonic–clonic seizure 4 days before admission to our hospital. Investigation excluded infectious etiology. Immunological workup revealed high titer of antinuclear and anti-double-stranded DNA antibodies. She was treated with steroids and azathioprine and responded well to treatment. It is important to have a very high index of suspicion for the diagnosis of SLE for early diagnosis, treatment, and meticulous monitoring.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2023;volume=11;issue=1;spage=145;epage=147;aulast=Kulkarnicentral nervous systemchildhood-onset systemic lupus erythematosusneuropsychiatric systemic lupus erythematosusseizure |
spellingShingle | Rajesh Kulkarni Rhea Singh Himanshu Gohatre Sabahat Ahmed Palash Sangai Deepali Ambike Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation Archives of Medicine and Health Sciences central nervous system childhood-onset systemic lupus erythematosus neuropsychiatric systemic lupus erythematosus seizure |
title | Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation |
title_full | Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation |
title_fullStr | Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation |
title_full_unstemmed | Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation |
title_short | Juvenile systemic lupus erythematosus with primary neuropsychiatric presentation |
title_sort | juvenile systemic lupus erythematosus with primary neuropsychiatric presentation |
topic | central nervous system childhood-onset systemic lupus erythematosus neuropsychiatric systemic lupus erythematosus seizure |
url | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2023;volume=11;issue=1;spage=145;epage=147;aulast=Kulkarni |
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