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Hirachi T, Ishii H, Tada Y, Noguchi T, Haraguchi Y, Tateishi H, Mizoguchi Y, Kato TA, Kawashima T, Monji A. Mania occurring during systemic lupus erythematosus relapse and its amelioration on clinical and neuroimaging follow-up. Lupus 2015; 24:990-3. [DOI: 10.1177/0961203315570161] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Accepted: 01/07/2015] [Indexed: 11/17/2022]
Abstract
Psychiatric manifestations of systemic lupus erythematosus (SLE) that are commonly preceded by organic syndromes include confusional states, anxiety disorder, cognitive dysfunction, mood disorder and psychosis. A 35-year-old woman was admitted to hospital with a relapse of SLE. Laboratory data were exacerbated, with some physical symptoms, and her primary psychiatric symptom was mania. The symptoms were reduced by treatment with prednisolone, methylprednisolone and aripiprazole. Magnetic resonance imaging and single-photon emission computed tomography (SPECT) using 123I-IMP was then performed and analyzed with three-dimensional stereotactic surface projection. This case emphasizes that SLE can commence with organic syndromes and relapse with predominantly psychiatric symptoms, and that the treatment efficacy may be confirmed using a follow-up of SPECT.
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Affiliation(s)
- T Hirachi
- Department of Psychiatry, Saga University, Japan
| | - H Ishii
- Department of Psychiatry, Saga University, Japan
| | - Y Tada
- Department of Rheumatology, Saga University, Japan
| | - T Noguchi
- Department of Radiology, Saga University, Japan
| | - Y Haraguchi
- Department of Psychiatry, Saga University, Japan
| | - H Tateishi
- Department of Psychiatry, Saga University, Japan
| | - Y Mizoguchi
- Department of Psychiatry, Saga University, Japan
| | - T A Kato
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - T Kawashima
- Department of Psychiatry, Saga University, Japan
| | - A Monji
- Department of Psychiatry, Saga University, Japan
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