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Case Reports
. 2021 Feb;10(2):1050-1053.
doi: 10.4103/jfmpc.jfmpc_1475_20. Epub 2021 Feb 27.

Acute psychosis as the presenting manifestation of lupus

Piyush Kumar  1 , Abhishek Kumar  1 , Vikram Thakur  1 , Chandra B Sharma  1 , Aneesha Thomas  2 , Subhankar Chatterjee  1
Affiliations
Case Reports

Acute psychosis as the presenting manifestation of lupus

Piyush Kumar et al. J Family Med Prim Care. 2021 Feb.

Abstract

Neuropsychiatric manifestations like cognitive dysfunction, peripheral neuropathy, stroke headache, seizures in systemic lupus erythematosus (SLE) are quite common. However, psychosis as the sole presenting manifestation of SLE is rarely encountered clinically. If lupus is not kept as differential among patients with acute psychosis, delay in diagnosis and subsequent mismanagement are likely to happen. Here, we present a case of a young female presenting with acute psychosis as the predominant symptom and was further evaluated and diagnosed as a case of SLE. The patient was managed with immunosuppressive agents and carried an excellent outcome.

Keywords: Lupus; neuropsychiatric; psychosis; steroid.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Maculopapular rashes in bilateral forearms, which served as a clinical clue towards psychosis secondary to a probable connective tissue disease
See this image and copyright information in PMC

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