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10.1136/bcr-2014-208215 http://scihub22266oqcxt.onion/10.1136/bcr-2014-208215 C4369033!4369033 !25743864     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25743864 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       BMJ+Case+Rep 2015 ; 2015 (ä): ä Nephropedia Template TP {{tp|p=25743864 |t=2015. Neuropsychiatric systemic lupus erythematosus: a diagnostic challenge |pdf=|usr=}}{{25743864 }} gab.com Text Neuropsychiatric systemic lupus erythematosus: a diagnostic challenge JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=25743864 #FOAvip A 58-year-old woman presented to neuropsychiatric services with increased frequency of confusional episodes and intermittent psychotic symptoms. She had a 19-year history of atypical epileptic seizures and cognitive decline. Detailed review of history and clinical investigations revealed that she had accumulated sufficient features to meet diagnostic criteria for systemic lupus erythematosus (SLE). She had previously had lymphopenia and a malar rash; she had positive antinuclear, anti-Ro (anti-Sjögren's-syndrome-related antigen A) and anti-SM (anti-Smith Antibody) antibodies, and elevated erythrocyte sedimentation rate. The seizures, cognitive impairment and psychosis were attributable to neuropsychiatric SLE. Treatment with immune-modulating therapy, cyclophosphamide, resulted in significant improvement in subjective and objective clinical presentation. Neuropsychiatric SLE should be considered a potential differential diagnosis for patients presenting with seizures, psychotic symptoms or cognitive decline. A detailed clinical evaluation with review of the medical history and appropriate laboratory analyses allows this diagnosis to be made, and appropriate treatment to be initiated. Twit Text FOAVip Neuropsychiatric systemic lupus erythematosus: a diagnostic challenge ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=25743864 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25743864 #FOAvip English Wikipedia <ref>{{Cite pmid|25743864 }}</ref> Neuropsychiatric systemic lupus erythematosus: a diagnostic challenge #MMPMID25743864 Sommerlad A ; Duncan J ; Lunn MP ; Foong J BMJ Case Rep 2015[Mar]; 2015 (ä): ä PMID25743864 show ga A 58-year-old woman presented to neuropsychiatric services with increased frequency of confusional episodes and intermittent psychotic symptoms. She had a 19-year history of atypical epileptic seizures and cognitive decline. Detailed review of history and clinical investigations revealed that she had accumulated sufficient features to meet diagnostic criteria for systemic lupus erythematosus (SLE). She had previously had lymphopenia and a malar rash; she had positive antinuclear, anti-Ro (anti-Sjögren's-syndrome-related antigen A) and anti-SM (anti-Smith Antibody) antibodies, and elevated erythrocyte sedimentation rate. The seizures, cognitive impairment and psychosis were attributable to neuropsychiatric SLE. Treatment with immune-modulating therapy, cyclophosphamide, resulted in significant improvement in subjective and objective clinical presentation. Neuropsychiatric SLE should be considered a potential differential diagnosis for patients presenting with seizures, psychotic symptoms or cognitive decline. A detailed clinical evaluation with review of the medical history and appropriate laboratory analyses allows this diagnosis to be made, and appropriate treatment to be initiated. |Cognition Disorders/etiology [MESH] |Cyclophosphamide/therapeutic use [MESH] |Diagnosis, Differential [MESH] |Female [MESH] |Follow-Up Studies [MESH] |Humans [MESH] |Immunosuppressive Agents/therapeutic use [MESH] |Lupus Vasculitis, Central Nervous System/complications/*diagnosis/drug therapy [MESH] |Middle Aged [MESH] |Psychotic Disorders/etiology [MESH] |Seizures/etiology [MESH]Neuropsychiatric systemic lupus erythematosus: a diagnostic challenge (epmc).pdf DeepDyve Pubget Overpricing