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Catatonia as the presenting symptom in systemic lupus erythematosus.
MedLine Citation:
PMID:  21587002     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Catatonia is a syndrome of physical and behavioral abnormalities that can result from psychiatric, neurological, or medical illness. Although systemic lupus erythematosus (SLE) is commonly known to cause neurological and psychiatric manifestations, it has only rarely been reported to cause the catatonic syndrome. In nearly all previously reported cases, the diagnosis of catatonia was reported in patients with an established diagnosis of lupus. We report a case in which a woman with no known medical history presented with catatonia that did not respond to standard treatment with benzodiazepines, suffered a long and complicated hospital course, and was eventually diagnosed with lupus. With initiation of treatment for lupus, her symptoms of catatonia remitted. This case illustrates the importance of considering medical causes in the diagnosis and treatment of psychiatric disorders, especially the catatonic syndrome.
Authors:
Sean Pustilnik; Alexandru Trutia
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of psychiatric practice     Volume:  17     ISSN:  1538-1145     ISO Abbreviation:  J Psychiatr Pract     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901141     Medline TA:  J Psychiatr Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  217-21     Citation Subset:  IM    
Affiliation:
Virginia Commonwealth University School of Medicine, Richmond.
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