Neuropsychiatric
syndrome in Systemic
Erythematous Lupus
NOTE: Translated
using software of
translation of
Spanish to English
Abstract
Neuropsychiatric Systemic Lupus
Erythematosus (NP-SLE) is a syndrome with a wide range of multiple
clinical presentations. At
the present time, we can define it with 19 different types. The clinical
incidence of NP-SLE is 25% in the patients with SLE. The diagnosis
is based on clinical suspicion, accurate differential diagnosis,
neuroimaging studies (CT scan, MRI and MRA). The serologic support is
based on antibodies like antiribosomal P, lupus anticoagulant and
anticardiolipines. Treatment consists in corticoids and, in some cases
as rescue agents, immunomodulators like intravenous cyclophosphamide and
plasmapheresis. We present a clinical case which permits
discussion of what is mentioned above.
Key words: Lupus, SLE, Neuropsychiatric lupus, Vasculitis.
Author:
Ecuadorian
magazine of neurology