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Year : 2021  |  Volume : 10  |  Issue : 2  |  Page : 1050-1053

Acute psychosis as the presenting manifestation of lupus

1 Department of General Medicine, Rajendra Institute of Medical Sciences, Ranchi, India
2 Department of Neurology, Rajendra Institute of Medical Sciences, Ranchi, India

Correspondence Address:
Dr. Piyush Kumar
Room No 102, Boys Hostel No. 6, Rajendra Institute of Medical Sciences, Bariatu, Ranchi - 834 009, Jharkhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_1475_20

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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.

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