Catatonia – An unusual presenting clinical manifestation of systemic lupus erythematosus

Abstract A 24-year-old female presented with catatonia and symptoms suggestive of Depressive Disorder. She also gave history of undocumented low grade irregular fever. The patient was worked up to rule out any organic cause or psychiatric illness. However, further investigations revealed immunologic...

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Published inReumatologia clinica Vol. 13; no. 4; pp. 224 - 226
Main Authors Chaudhury, Debasish, Qureshi, Arshna, Prasad, Shiv, Meena, Ravi Kumar, Sharma, Simran
Format Journal Article
LanguageEnglish
Published Spain Elsevier España, S.L.U 01.07.2017
Subjects
Catatonia
Catatonia - etiology
Catatonía
CNS lupus
Female
Humans
LES
Lupus del SNC
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - diagnosis
Rheumatology
SLE
Young Adult
CNS lupus
Catatonia
LES
Lupus del SNC
SLE
Catatonía
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Summary:Abstract A 24-year-old female presented with catatonia and symptoms suggestive of Depressive Disorder. She also gave history of undocumented low grade irregular fever. The patient was worked up to rule out any organic cause or psychiatric illness. However, further investigations revealed immunological profile diagnostic of Systemic Lupus Erythematosus (SLE) with CNS involvement (CNS lupus). The diagnosis of SLE in this patient presenting with catatonia was of practical importance because catatonia as one of the manifestations of SLE or as a standalone presenting symptom is extremely rare. Hence, clinicians should be aware of this rarity so that diagnosis of Neuropsychiatric SLE (NPSLE) or catatonia as a presenting feature of SLE is never missed.
ISSN:1699-258X
1885-1398
DOI:10.1016/j.reuma.2016.03.013