Reumatologia: pesquisas atuais
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While Balancing Steroid in SLE, the Brain was Victimized

Bizanti A, Ni R, Ahmed A, Regmi M

Neuropsychiatric Systemic lupus Erythematosus (NPSLE) is a common manifestation in systemic lupus erythematosus, however pure psychosis without no other CNS symptoms is less common. Differentiating between lupus psychosis and steroid induced psychosis can even be more challenging. In this case report, we present a 53-year old African American female with longstanding SLE overlapped with dermatomyositis manifested with acute psychotic events. The late onset of psychosis and the absence of typical lupus flare serological test results differed from classical NPSLE. Especially, in the setting of withdrawing steroids several months prior to presentation. The exclusion of other etiologies and a trial of steroid prompted quick resolution of her symptoms.