Conclusion
Continued efforts to better understand the pathologic mechanisms of the
various manifestations of SLE and neuropsychiatric features are ongoing
to aid in diagnosing and treating neuropsychiatric SLE. In our patient,
the combination of clinical features, radiological findings, and
positive immunological titers helped us diagnose the patient’s case. Her
symptoms and response to the treatment, along with her lab improvement,
have ensured us that we are on the right track. Further studies are
obligatory to help rheumatologists ideally deal with and manage CNS
lupus patients.
Conflict of Interest
The authors reported no conflict of interest.
Funding
This paper did not receive any specific grant from funding agencies in
the public , commercial or non-profit sectors.
Ethical Approval
The patient consented and agreed before writing this case report.
Authors Contribution
Dr. AAK chose and managed the case and commenced writing the initial and
final draft of the article. Mr. FTH conducted a literature review and
provided logistic support. Both authors have critically reviewed and
approved the final draft and are responsible for the content and
similarity index of the manuscript.
References :
[1] C. Sarah and B. Bonnie, ”neuropsychiatric manifestations of
systemic lupus erythematosus,” in neuroheumatology , cham , springer
nature Switzerland AG, 2019, pp. 41-56.
[2] M. Aringer, K. Costenbader and D. Daikh, ”et al2019 European
League Against Rheumatism/American College of Rheumatology
classification criteria for systemic
lupuserythematosus,”12-8-2019.[Online].Available:
https://ard.bmj.com/content/78/9/1151.
[3] K. 1. AZAD , M. SPARDAR , A. APPOLO, M. MALLIK and M. SARKER ,
”CNS LUPUS PRESENTING AS ENCEPHALITIS,” Journal of Dhaka Med Coll,
Dhaka, 2011.
[4] Ferraria, N., Rocha, S., Fernandes, V. S., Correia, N. Ferraria
, S. Rocha , V. S. Fernandes , T. Correia and E. Gonçalves, ”Juvenile
systemic lupus erythematosus with primary neuropsychiatric
presentation,” BMJ bcr2012008270. https://doi.org/10.1136/bcr-2012-
008270, 2013.
[5] P. M. Iftikhar , M. Munawar , C. A. Hasan, M. FaisalUddin and A.
Cohen , ”A Challenging Diagnosis of Systemic Lupus Erythematosus with
Status Epilepticus,” Cureus, 11(5), e4783.
https://doi.org/10.7759/cureus.4783 , 2019.
[6] İ. M. Faruk , H. Özlem , Y. Mustafa and A. Şakir , ”Systemic
Lupus Erythematosus Presenting with Status Epilepticus,” Turkish Journal
of Rheumatology, 27(3), Adana, 2013