Catatonia due to systemic lupus erythematosus
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852014000200177 |
Resumo: | Objectives Discuss neuropsychiatric aspects and differential diagnosis of catatonic syndrome secondary to systemic lupus erythematosus (SLE) in a pediatric patient. Methods Single case report. Result A 13-year-old male, after two months diagnosed with SLE, started to present psychotic symptoms (behavioral changes, hallucinations and delusions) that evolved into intense catatonia. During hospitalization, neuroimaging, biochemical and serological tests for differential diagnosis with metabolic encephalopathy, neurological tumors and neuroinfections, among other tests, were performed. The possibility of neuroleptic malignant syndrome, steroid-induced psychosis and catatonia was also evaluated. A complete reversal of catatonia was achieved after using benzodiazepines in high doses, associated with immunosuppressive therapy for lupus, which speaks in favor of catatonia secondary to autoimmune encephalitis due to lupus. Conclusion Although catatonia rarely is the initial clinical presentation of SLE, the delay in recognizing the syndrome can be risky, having a negative impact on prognosis. Benzodiazepines have an important role in the catatonia resolution, especially when associated with parallel specific organic base cause treatment. The use of neuroleptics should be avoided for the duration of the catatonic syndrome as it may cause clinical deterioration. |
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Catatonia due to systemic lupus erythematosusCatatoniasystemic lupus erythematosusbenzodiazepinesdifferential diagnosis Objectives Discuss neuropsychiatric aspects and differential diagnosis of catatonic syndrome secondary to systemic lupus erythematosus (SLE) in a pediatric patient. Methods Single case report. Result A 13-year-old male, after two months diagnosed with SLE, started to present psychotic symptoms (behavioral changes, hallucinations and delusions) that evolved into intense catatonia. During hospitalization, neuroimaging, biochemical and serological tests for differential diagnosis with metabolic encephalopathy, neurological tumors and neuroinfections, among other tests, were performed. The possibility of neuroleptic malignant syndrome, steroid-induced psychosis and catatonia was also evaluated. A complete reversal of catatonia was achieved after using benzodiazepines in high doses, associated with immunosuppressive therapy for lupus, which speaks in favor of catatonia secondary to autoimmune encephalitis due to lupus. Conclusion Although catatonia rarely is the initial clinical presentation of SLE, the delay in recognizing the syndrome can be risky, having a negative impact on prognosis. Benzodiazepines have an important role in the catatonia resolution, especially when associated with parallel specific organic base cause treatment. The use of neuroleptics should be avoided for the duration of the catatonic syndrome as it may cause clinical deterioration. Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro2014-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852014000200177Jornal Brasileiro de Psiquiatria v.63 n.2 2014reponame:Jornal Brasileiro de Psiquiatria (Online)instname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ10.1590/0047-2085000000022info:eu-repo/semantics/openAccessRabello,Francisco de Assis Pinto Cabral JúniorLuz,Daniel CalichFigueiredo,Evânia Claudino Queiroga deGaudêncio,Edmundo de OliveiraCoutinho,Larissa Cristina Queiroga MendonçaAzevedo,Waldeneide Fernandes deeng2014-08-08T00:00:00Zoai:scielo:S0047-20852014000200177Revistahttp://portalrev.enfermagem.bvs.br/index.php?issn=0047-2085&lang=ptONGhttps://old.scielo.br/oai/scielo-oai.php||editora@ipub.ufrj.br1982-02080047-2085opendoar:2014-08-08T00:00Jornal Brasileiro de Psiquiatria (Online) - Universidade Federal do Rio de Janeiro (UFRJ)false |
dc.title.none.fl_str_mv |
Catatonia due to systemic lupus erythematosus |
title |
Catatonia due to systemic lupus erythematosus |
spellingShingle |
Catatonia due to systemic lupus erythematosus Rabello,Francisco de Assis Pinto Cabral Júnior Catatonia systemic lupus erythematosus benzodiazepines differential diagnosis |
title_short |
Catatonia due to systemic lupus erythematosus |
title_full |
Catatonia due to systemic lupus erythematosus |
title_fullStr |
Catatonia due to systemic lupus erythematosus |
title_full_unstemmed |
Catatonia due to systemic lupus erythematosus |
title_sort |
Catatonia due to systemic lupus erythematosus |
author |
Rabello,Francisco de Assis Pinto Cabral Júnior |
author_facet |
Rabello,Francisco de Assis Pinto Cabral Júnior Luz,Daniel Calich Figueiredo,Evânia Claudino Queiroga de Gaudêncio,Edmundo de Oliveira Coutinho,Larissa Cristina Queiroga Mendonça Azevedo,Waldeneide Fernandes de |
author_role |
author |
author2 |
Luz,Daniel Calich Figueiredo,Evânia Claudino Queiroga de Gaudêncio,Edmundo de Oliveira Coutinho,Larissa Cristina Queiroga Mendonça Azevedo,Waldeneide Fernandes de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rabello,Francisco de Assis Pinto Cabral Júnior Luz,Daniel Calich Figueiredo,Evânia Claudino Queiroga de Gaudêncio,Edmundo de Oliveira Coutinho,Larissa Cristina Queiroga Mendonça Azevedo,Waldeneide Fernandes de |
dc.subject.por.fl_str_mv |
Catatonia systemic lupus erythematosus benzodiazepines differential diagnosis |
topic |
Catatonia systemic lupus erythematosus benzodiazepines differential diagnosis |
description |
Objectives Discuss neuropsychiatric aspects and differential diagnosis of catatonic syndrome secondary to systemic lupus erythematosus (SLE) in a pediatric patient. Methods Single case report. Result A 13-year-old male, after two months diagnosed with SLE, started to present psychotic symptoms (behavioral changes, hallucinations and delusions) that evolved into intense catatonia. During hospitalization, neuroimaging, biochemical and serological tests for differential diagnosis with metabolic encephalopathy, neurological tumors and neuroinfections, among other tests, were performed. The possibility of neuroleptic malignant syndrome, steroid-induced psychosis and catatonia was also evaluated. A complete reversal of catatonia was achieved after using benzodiazepines in high doses, associated with immunosuppressive therapy for lupus, which speaks in favor of catatonia secondary to autoimmune encephalitis due to lupus. Conclusion Although catatonia rarely is the initial clinical presentation of SLE, the delay in recognizing the syndrome can be risky, having a negative impact on prognosis. Benzodiazepines have an important role in the catatonia resolution, especially when associated with parallel specific organic base cause treatment. The use of neuroleptics should be avoided for the duration of the catatonic syndrome as it may cause clinical deterioration. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852014000200177 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852014000200177 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0047-2085000000022 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro |
publisher.none.fl_str_mv |
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Psiquiatria v.63 n.2 2014 reponame:Jornal Brasileiro de Psiquiatria (Online) instname:Universidade Federal do Rio de Janeiro (UFRJ) instacron:UFRJ |
instname_str |
Universidade Federal do Rio de Janeiro (UFRJ) |
instacron_str |
UFRJ |
institution |
UFRJ |
reponame_str |
Jornal Brasileiro de Psiquiatria (Online) |
collection |
Jornal Brasileiro de Psiquiatria (Online) |
repository.name.fl_str_mv |
Jornal Brasileiro de Psiquiatria (Online) - Universidade Federal do Rio de Janeiro (UFRJ) |
repository.mail.fl_str_mv |
||editora@ipub.ufrj.br |
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1750128246234546176 |