Open AccessAcute psychosis as the presenting manifestation of lupus
Author(s) -
Piyush Kumar,
Abhishek Kumar,
Vikram Thakur,
Chandra Bhushan Sharma,
Aneesha Thomas,
Subhankar Chatterjee
Publication year - 2021
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_1475_20
Subject(s) - medicine , psychosis , systemic lupus erythematosus , acute psychosis , peripheral neuropathy , differential diagnosis , dermatology , stroke (engine) , lupus erythematosus , pediatrics , psychiatry , immunology , pathology , disease , diabetes mellitus , endocrinology , mechanical engineering , antibody , engineering
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.