PSIKOSIS PADA AUTOIMUN SEBUAH LAPORAN KASUS SISTEMIK LUPUS ERITEMATOSUS KOINSIDENSI DENGAN MULTIPLE SKLEROSIS
DOI:
https://doi.org/10.36341/cmj.v5i1.1725Keywords:
Autoimun, lupus eritematosus sistemik, multiple sklerosis, psikosisAbstract
Varied symptoms of Systemic lupus erythematosus make its diagnosis challenging. A 40 year old woman was admitted to the Emergency Room for self-talking, rambling and being rowdy. Psychiatric assessment showed an indication of organic hallucination. The patient had been undergoing neurologic treatment for four months due to multiple sclerosis with onset symptoms including of paraperese which was improved after taking steroids. In addition to neurologic symptoms, other conditions including mucous ulcers, malar rash, vasculitis, hair loss, and arthritis were found. The laboratory test indicated the presence of strong positive ANA profile in the RNP/Sm, Sm, SS-A native, Ro-52, SS-B and Ribosomal Protein. Patient’s condition significantly improved after undergoing treatment for Systemic lupus erythematosus flare with a coincidence of multiple sclerosis.
Downloads
References
[2] Dafna G, “Systemic Lupus Erythematosus And Sjögren's Syndromeâ€, Current Opinion in Rheumatology: September, p 430-437, 1996.
[3] Dendrou CA, Fugger L, Friese MA, “Immunopathology of multiple sclerosisâ€, Nat Rev Immunol, ;15(9):545-558, 2015.
[4] Eaton WW, Pedersen MG, Nielsen PR, Mortensen PB, “Autoimmune diseases, bipolar disorder, and non-affective psychosis. Bipolar Disordâ€, 12:638–46, 2010.
[5] Tay SH, Mak A, “Diagnosing and attributing neuropsychiatric events to systemic lupus erythematosus: time to untie the Gordian knot?â€, Rheumatology. 56:i14–24, 2016.
[6] Rose Jeppesen and Michael Eriksen Benros, “Autoimmune Diseases and Psychotic Disordersâ€, Frontiers in Psychiatry, March, Volume 10, 2019.
[7] Negrini S, Pappalardo F, Murdaca G, Indiveri F, Puppo F, “The antiphospholipid syndrome: from pathophysiology to treatmentâ€,
Clin Exp Med, Aug;17(3):257-267, 2017.
[8] Wu Haifeng, Birmingham DJ, Rovin Brad, Hackshaw KV, Haddad, Haden, Yu CY dan Hebert LA, “D-Dimer Level and the Risk for Thrombosis in Systemic Lupus Erythematosusâ€, Clin J Am Soc Nephrol 3: 1628–1636, 2008.
[9] Rege S dan Mackworth-Young C, “Antiphospholipid antibodies as biomarkers in psychiatry: review of psychiatric manifestations in antiphospholipid syndromeâ€, Translational Developmental Psychiatry, 3: 25, 2015.
[10] Abbas AK, Lichtman AH, Pillai S, Basic Imunology: Function and Disorders of the Immune System, (5th Edition), Philladelphia: Elsevier-Saunders Publishing; 2016.
Downloads
Published
Issue
Section
License
1. Copyright of all journal manuscripts is held by the Collaborative Medical Journal (CMJ)
2. Formal legal provisions to access digital articles of electronic journal are subject to the provision of the Creative Commons Attribution-ShareAlike license (CC BY-NC-SA), which means that Collaborative Medical Journal (CMJ) is rightful to keep, transfer media/format, manage in the form of databases, maintain, and publish articles.
3. Published manuscripts both printed and electronic are open access for educational, research, and library purposes. Additionally, the editorial board is not responsible for any violations of copyright law.
licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.