Catatonia due to systemic lupus erythematosus

Detalhes bibliográficos
Autor(a) principal: Rabello,Francisco de Assis Pinto Cabral Júnior
Data de Publicação: 2014
Outros Autores: Luz,Daniel Calich, Figueiredo,Evânia Claudino Queiroga de, Gaudêncio,Edmundo de Oliveira, Coutinho,Larissa Cristina Queiroga Mendonça, Azevedo,Waldeneide Fernandes de
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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spelling 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
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852014000200177
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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)
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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)
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