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2012, Number 4

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Rev Fac Med UNAM 2012; 55 (4)

Neuropsychiatric systemic lupus erythematosus. Case report and review of literature

Violante-Villanueva A, Canché-Arenas A, Espinosa-Díaz S, Herrera-Mercadillo R
Full text How to cite this article

Language: Spanish
References: 8
Page: 41-44
PDF size: 166.61 Kb.


Key words:

systemic lupus erythematosus, neuropsychiatric lupus.

ABSTRACT

The case of a 42-year-old woman who presented neurologic symptoms characterized by paresthesias and right hemiparesis is presented here. Although the diagnosis was difficult at the beginning; yet, the features of the lesions (located in the cerebral cortex but not in the white matter; no arterial distribution), positive serology for SLE and proteinuria, determined the diagnosis of Neuropsychiatric systemic lupus erythematosus. The purpose of this work is to inform about the low prevalence (‹4%) of the disease and how it is a diagnostic challenge.


REFERENCES

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  2. West S.G. Lupus y el sistema nervioso central. Curr Opin Rheumatol . 2006 Sep; 8 (5):408-14.

  3. Van Dam A.P. El diagnóstico y la patogenia del lupus del SNC. Rheumatol Int. 2001; 11 (1) :1-11.

  4. Fragoso-Loyo H, Cabiedes J, Orozco-Narváez A, et al. Autoanticuerpos en suero y líquido cefalorraquídeo en pacientes con lupus eritematoso neuropsiquiátrico. Implicaciones para el diagnóstico y la patogenia. PLoS One. 2008; 3(10):3347.

  5. Weiner S.M., Otte A, M Uhl, Brink I, M Schumacher, Peter H. Compromiso neuropsiquiátrico en el lupus eritematoso sistémico. Parte 2: diagnóstico y terapia. Med Klin. 2003; 98 (2):79-90.

  6. Navarrete MG, Brey RL. Eritematoso lupus sistémico neuropsiquiátrico. Curr Tratar Neurol Opciones. 2000 Sep; 2 (5):473-485.

  7. Steinlin MI, Blaser SI, Gilday DL, et al. Las manifestaciones neurológicas de pediatría eritematoso de lupus sistémico. Pediatr Neurol.2005 Oct; 13 (3) :191-7.

  8. Hermosillo-Romo D, Brey RL. Diagnóstico y tratamiento de pacientes con lupus eritematoso sistémico: lupus neuropsiquiátrico, Best Pract Res Clin Rheumatol. 2002;16 (2):229-44.




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C?MO CITAR (Vancouver)

Rev Fac Med UNAM . 2012;55