Harshitha V Handral¹ and Madhusudhan Shivappa²*

¹Senior Resident, Department of Psychiatry, Sri Siddhartha Institute of Medical Sciences, India
²Associate Professor, Department of Psychiatry, Bangalore Medical College and Research Institute, India

*Corresponding Author: Madhusudhan Shivappa, Associate Professor, Department of Psychiatry, Bangalore Medical College and Research Institute, India.

Received: December 13, 2023; Published: February 14, 2024

Abstract

A 17-year-old female who was recently diagnosed with SLE and taking medication for the same had developed symptoms of depression and nihilistic delusion postinitiation of treatment and hence steroids were discontinued after consultation with a local doctor. She was brought to psychiatry emergency in catatonia after a duration of 2 weeks of stopping steroids. On examination patient had immobility, staring look, posturing, rigidity, negativism. With Routine investigations, organic causes of catatonia were ruled out. Cyclophosphamide, prednisolone, lorazepam along with low dose antipsychotic, antidepressan were started and significant improvement in patient was noted. Catatonia was completely resolved. It is extremely important to pick this rare neuropsychiatric presentation of SLE so as to promptly initiate treatment and benefit the patient.

 Keywords: Catatonia; Neuropsychiatric Systemic Lupus Erythematosus; Lupus Erythematosus; Systemic

References

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Citation

Citation: Harshitha V Handral and Madhusudhan Shivappa. “A Rare Neuropsychiatric Manifestation in Systemic Lupus Erythematosus- A Case Report”. Acta Scientific Neurology 7.3 (2024): 03-05.

Copyright

Copyright: © 2024 Harshitha V Handral and Madhusudhan Shivappa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.