Secondary catatonia to systemic lupus erythematosus: Systematic review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/33412 |
Resumo: | Systemic Lupus Erythematosus (SLE) is an autoimmune disease that is known to be associated with neuropsychiatric manifestations with a prevalence of 17 to 75% in patients with the disease. Catatonia has been described in the clinical spectrum of neuropsychiatric manifestations (NPM) of SLE. The aim of this study was to characterize, through a systematic review, the clinical manifestations and treatment of catatonia induced by Systemic Lupus Erythematosus (SLE). A systematic review of a case report and series was carried out using the descriptors “Systemic Lupus Erythematosus” and “Catatonia”, from 1977 to 2021, in the published Medline©, PubMed©, Lilacs©, Scielo© and EMBASE© databases. in Spanish, French, English and Portuguese. Of a total of 50 patients analyzed in the selected studies, about 54% were aged between 18 and 35 years, with a total prevalence in females, 90%. It was evidenced that the clinical picture is quite varied, with a predominance of mutism (75%), immobility/stupor (55%), rigidity (40%) and waxy flexibility (40%). 46% of patients had central nervous system alterations detected by brain magnetic resonance imaging, cranial computed tomography, electroencephalogram or lumbar puncture. Regarding the treatment proposed to each patient, with a description of improvement, the use of benzodiazepines, electroconvulsive therapy, glucocorticoids and immunosuppressants are responsible for almost all the resolution responses. It is concluded that psychiatric disorders are not well described in SLE. This study highlights the importance of diagnosing and treating psychiatric disorders, especially catatonic syndrome. SLE should therefore be included in the differential diagnosis of patients presenting with catatonic syndrome. |
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Secondary catatonia to systemic lupus erythematosus: Systematic reviewCatatonia secundaria a lupus eritematoso sistémico: Revisión sistemática Catatonia secundária ao lúpus eritematoso sistêmico: Revisão sistemáticaCatatoniaSystemic lupus erythematosusNeuropsychiatry.CatatoníaLupus eritematoso sistémicoNeurosiquiatría.CatatoniaLúpus eritematoso sistêmicoNeuropsiquiatria.Systemic Lupus Erythematosus (SLE) is an autoimmune disease that is known to be associated with neuropsychiatric manifestations with a prevalence of 17 to 75% in patients with the disease. Catatonia has been described in the clinical spectrum of neuropsychiatric manifestations (NPM) of SLE. The aim of this study was to characterize, through a systematic review, the clinical manifestations and treatment of catatonia induced by Systemic Lupus Erythematosus (SLE). A systematic review of a case report and series was carried out using the descriptors “Systemic Lupus Erythematosus” and “Catatonia”, from 1977 to 2021, in the published Medline©, PubMed©, Lilacs©, Scielo© and EMBASE© databases. in Spanish, French, English and Portuguese. Of a total of 50 patients analyzed in the selected studies, about 54% were aged between 18 and 35 years, with a total prevalence in females, 90%. It was evidenced that the clinical picture is quite varied, with a predominance of mutism (75%), immobility/stupor (55%), rigidity (40%) and waxy flexibility (40%). 46% of patients had central nervous system alterations detected by brain magnetic resonance imaging, cranial computed tomography, electroencephalogram or lumbar puncture. Regarding the treatment proposed to each patient, with a description of improvement, the use of benzodiazepines, electroconvulsive therapy, glucocorticoids and immunosuppressants are responsible for almost all the resolution responses. It is concluded that psychiatric disorders are not well described in SLE. This study highlights the importance of diagnosing and treating psychiatric disorders, especially catatonic syndrome. SLE should therefore be included in the differential diagnosis of patients presenting with catatonic syndrome.El lupus eritematoso sistémico (LES) es una enfermedad autoinmune que se sabe que está asociada con manifestaciones neuropsiquiátricas con una prevalencia del 17 al 75% en pacientes con la enfermedad. La catatonia se ha descrito en el espectro clínico de las manifestaciones neuropsiquiátricas (NPM) del LES. El objetivo de este estudio fue caracterizar, a través de una revisión sistemática, las manifestaciones clínicas y el tratamiento de la catatonia inducida por Lupus Eritematoso Sistémico (LES). Se realizó una revisión sistemática de un reporte de caso y serie utilizando los descriptores “Systemic Lupus Erythematosus” y “Catatonia”, desde 1977 hasta 2021, en las bases de datos publicadas Medline©, PubMed©, Lilacs©, Scielo© y EMBASE©. Español, francés, inglés y portugués. De un total de 50 pacientes analizados en los estudios seleccionados, cerca del 54% tenían entre 18 y 35 años, con un predominio total en el sexo femenino, del 90%. Se evidenció que el cuadro clínico es bastante variado, con predominio de mutismo (75%), inmovilidad/estupor (55%), rigidez (40%) y flexibilidad cérea (40%). Al 46% de los pacientes se les detectaron alteraciones del sistema nervioso central mediante resonancia magnética cerebral, tomografía computarizada craneal, electroencefalograma o punción lumbar. En cuanto al tratamiento propuesto a cada paciente, con descripción de mejoría, el uso de benzodiazepinas, terapia electroconvulsiva, glucocorticoides e inmunosupresores son los responsables de casi todas las respuestas de resolución. Se concluye que los trastornos psiquiátricos no están bien descritos en el LES. Este estudio destaca la importancia del diagnóstico y tratamiento de los trastornos psiquiátricos, especialmente el síndrome catatónico. Por lo tanto, el LES debe incluirse en el diagnóstico diferencial de los pacientes que presentan el síndrome catatónico.Lúpus Eritematoso Sistêmico (LES) é uma doença autoimune que é conhecido por estar associado a manifestações neuropsiquiátricas com uma prevalência de 17 a 75% nos portadores da doença. A catatonia tem sido descrita no espectro clínico das manifestações neuropsiquiátricas (MNP) do LES. O objetivo desse estudo foi caracterizar, por meio de uma revisão sistemática, as manifestações clínicas e a terapêutica da catatonia induzida por Lúpus Eritematoso Sistêmico (LES). Foi realizado uma revisão sistemática de relato e série de casos utilizando os descritores “Systemic Lupus Erythematosus” e “Catatonia”, no período de 1977 a 2021, nas bases de dados Medline©, PubMed©, Lilacs©, Scielo© e EMBASE© publicados em Espanhol, Francês, Inglês e Português. De um total de 50 pacientes analisados nos estudos selecionados, cerca de 54% tinham idade entre 18 e 35 anos, com prevalência total no sexo feminino, 90%. Evidenciou-se que o quadro clínico é bem variado com predominância de mutismo (75%), imobilidade/estupor (55%), rigidez (40%) e flexibilidade cérea (40%). 46% dos pacientes apresentaram alterações do sistema nervoso central detectado através da ressonância magnética de cérebro, tomografia computadorizada de crânio, eletroencefalograma ou punção lombar. Em relação ao tratamento proposto a cada paciente, com descrição de melhora, tem-se o uso de benzodiazepínicos, eletroconvulsoterapia, glicocorticoides e imunossupressores como responsáveis por quase todas as respostas de resolutividade. Conclui-se que os transtornos psiquiátricos não são bem descritos no LES. Este estudo evidencia a importância do diagnóstico e tratamento de transtornos psiquiátricos, especialmente a síndrome catatônica. LES deve, portanto, ser incluído no diagnóstico diferencial de pacientes apresentando a síndrome catatônica. Research, Society and Development2022-08-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3341210.33448/rsd-v11i11.33412Research, Society and Development; Vol. 11 No. 11; e150111133412Research, Society and Development; Vol. 11 Núm. 11; e150111133412Research, Society and Development; v. 11 n. 11; e1501111334122525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/33412/28285Copyright (c) 2022 João César Queiroga de Figueiredo; Rachel de Souza Aquino; Evânia Claudino Queiroga de Figueiredohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFigueiredo, João César Queiroga de Aquino, Rachel de Souza Figueiredo, Evânia Claudino Queiroga de 2022-09-05T13:24:46Zoai:ojs.pkp.sfu.ca:article/33412Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:04.203183Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Secondary catatonia to systemic lupus erythematosus: Systematic review Catatonia secundaria a lupus eritematoso sistémico: Revisión sistemática Catatonia secundária ao lúpus eritematoso sistêmico: Revisão sistemática |
title |
Secondary catatonia to systemic lupus erythematosus: Systematic review |
spellingShingle |
Secondary catatonia to systemic lupus erythematosus: Systematic review Figueiredo, João César Queiroga de Catatonia Systemic lupus erythematosus Neuropsychiatry. Catatonía Lupus eritematoso sistémico Neurosiquiatría. Catatonia Lúpus eritematoso sistêmico Neuropsiquiatria. |
title_short |
Secondary catatonia to systemic lupus erythematosus: Systematic review |
title_full |
Secondary catatonia to systemic lupus erythematosus: Systematic review |
title_fullStr |
Secondary catatonia to systemic lupus erythematosus: Systematic review |
title_full_unstemmed |
Secondary catatonia to systemic lupus erythematosus: Systematic review |
title_sort |
Secondary catatonia to systemic lupus erythematosus: Systematic review |
author |
Figueiredo, João César Queiroga de |
author_facet |
Figueiredo, João César Queiroga de Aquino, Rachel de Souza Figueiredo, Evânia Claudino Queiroga de |
author_role |
author |
author2 |
Aquino, Rachel de Souza Figueiredo, Evânia Claudino Queiroga de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Figueiredo, João César Queiroga de Aquino, Rachel de Souza Figueiredo, Evânia Claudino Queiroga de |
dc.subject.por.fl_str_mv |
Catatonia Systemic lupus erythematosus Neuropsychiatry. Catatonía Lupus eritematoso sistémico Neurosiquiatría. Catatonia Lúpus eritematoso sistêmico Neuropsiquiatria. |
topic |
Catatonia Systemic lupus erythematosus Neuropsychiatry. Catatonía Lupus eritematoso sistémico Neurosiquiatría. Catatonia Lúpus eritematoso sistêmico Neuropsiquiatria. |
description |
Systemic Lupus Erythematosus (SLE) is an autoimmune disease that is known to be associated with neuropsychiatric manifestations with a prevalence of 17 to 75% in patients with the disease. Catatonia has been described in the clinical spectrum of neuropsychiatric manifestations (NPM) of SLE. The aim of this study was to characterize, through a systematic review, the clinical manifestations and treatment of catatonia induced by Systemic Lupus Erythematosus (SLE). A systematic review of a case report and series was carried out using the descriptors “Systemic Lupus Erythematosus” and “Catatonia”, from 1977 to 2021, in the published Medline©, PubMed©, Lilacs©, Scielo© and EMBASE© databases. in Spanish, French, English and Portuguese. Of a total of 50 patients analyzed in the selected studies, about 54% were aged between 18 and 35 years, with a total prevalence in females, 90%. It was evidenced that the clinical picture is quite varied, with a predominance of mutism (75%), immobility/stupor (55%), rigidity (40%) and waxy flexibility (40%). 46% of patients had central nervous system alterations detected by brain magnetic resonance imaging, cranial computed tomography, electroencephalogram or lumbar puncture. Regarding the treatment proposed to each patient, with a description of improvement, the use of benzodiazepines, electroconvulsive therapy, glucocorticoids and immunosuppressants are responsible for almost all the resolution responses. It is concluded that psychiatric disorders are not well described in SLE. This study highlights the importance of diagnosing and treating psychiatric disorders, especially catatonic syndrome. SLE should therefore be included in the differential diagnosis of patients presenting with catatonic syndrome. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33412 10.33448/rsd-v11i11.33412 |
url |
https://rsdjournal.org/index.php/rsd/article/view/33412 |
identifier_str_mv |
10.33448/rsd-v11i11.33412 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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https://rsdjournal.org/index.php/rsd/article/view/33412/28285 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
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Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 11; e150111133412 Research, Society and Development; Vol. 11 Núm. 11; e150111133412 Research, Society and Development; v. 11 n. 11; e150111133412 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
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Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052720756031488 |