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Neuropsychiatric Systemic Lupus Erythematosus in a Patient with Pancytopenia and Chronic Schizophrenia Requiring Hospitalisation.
Horino, Taro; Inotani, Satoshi; Komori, Masahiro; Ohnishi, Hiroshi; Terada, Yoshio.
Afiliación
  • Horino T; Department of Endocrinology, Metabolism and Nephrology, Kochi Medical School, Kochi University, Japan.
  • Inotani S; Department of Endocrinology, Metabolism and Nephrology, Kochi Medical School, Kochi University, Japan.
  • Komori M; Department of Otolaryngology, Kochi Medical School, Kochi University, Japan.
  • Ohnishi H; Department of Haematology and Respiratory Medicine, Kochi Medical School, Kochi University, Japan.
  • Terada Y; Department of Endocrinology, Metabolism and Nephrology, Kochi Medical School, Kochi University, Japan.
Intern Med ; 2024 May 16.
Article en En | MEDLINE | ID: mdl-38749733
ABSTRACT
We herein report a patient with systemic lupus erythematosus (SLE) and neuropsychiatric SLE (NPSLE), who had been misdiagnosed with schizophrenia for a long time and presented with pancytopenia. Brain magnetic resonance imaging revealed sporadic punctate hyperintense areas in the cerebral white matter. Single-photon emission computed tomography revealed a clear decrease in blood flow from the parietotemporal association area to the temporal lobe. NPSLE is a serious organ complication that significantly worsens the SLE prognosis. NPSLE symptoms are diverse and difficult to diagnose and differentiate from those of other neuropsychiatric disorders, especially in an early onset.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón