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10.14740/jocmr2698w http://scihub22266oqcxt.onion/10.14740/jocmr2698w C5012247!5012247!27635183     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       J+Clin+Med+Res 2016 ; 8 (10): 757-9 Nephropedia Template TP {{tp|p=27635183|t=2016. Neuropsychiatric Systemic Lupus Erythematosus: A Diagnostic Conundrum |pdf=|usr=}}{{27635183}} gab.com Text Neuropsychiatric Systemic Lupus Erythematosus: A Diagnostic Conundrum JO: J Clin Med Res http://www.kidney.de/pget.php?&tw=1&pmid=27635183 #FOAvip A 70-year-old man presented with complaints of rapid cognitive decline and new onset leukopenia. The patient had a 17-year history of refractory seizures. Detailed review of symptoms and investigations revealed the patient met American College of Rheumatology (ACR) diagnostic criteria for systemic lupus erythematosus (SLE). The patient had high titer ANA with a strongly positive dsDNA. Immunosuppressive therapy with hydroxychloroquine and mycophenolate mofetil led to significant improvement in cognition and seizures. Neuropsychiatric SLE should be considered a potential differential diagnosis for patients presenting with seizures or cognitive decline. Moreover, neuropsychiatric manifestations especially seizures are an early event in the disease course of SLE. Hence, we believe that early diagnosis of SLE by neuropsychiatric manifestations will not only lead to better control of CNS symptoms but early immunosuppressive therapy could control the progression of the underlying autoimmune disease. Twit Text FOAVip Neuropsychiatric Systemic Lupus Erythematosus: A Diagnostic Conundrum ????J Clin Med Res http://www.kidney.de/pget.php?&tw=1&pmid=27635183 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27635183 #FOAvip English Wikipedia <ref>{{Cite pmid|27635183}}</ref> Neuropsychiatric Systemic Lupus Erythematosus: A Diagnostic Conundrum #MMPMID27635183 Joseph V; Anil R; Aristy S J Clin Med Res 2016[Oct]; 8 (10): 757-9 PMID27635183show ga A 70-year-old man presented with complaints of rapid cognitive decline and new onset leukopenia. The patient had a 17-year history of refractory seizures. Detailed review of symptoms and investigations revealed the patient met American College of Rheumatology (ACR) diagnostic criteria for systemic lupus erythematosus (SLE). The patient had high titer ANA with a strongly positive dsDNA. Immunosuppressive therapy with hydroxychloroquine and mycophenolate mofetil led to significant improvement in cognition and seizures. Neuropsychiatric SLE should be considered a potential differential diagnosis for patients presenting with seizures or cognitive decline. Moreover, neuropsychiatric manifestations especially seizures are an early event in the disease course of SLE. Hence, we believe that early diagnosis of SLE by neuropsychiatric manifestations will not only lead to better control of CNS symptoms but early immunosuppressive therapy could control the progression of the underlying autoimmune disease. äNeuropsychiatric Systemic Lupus Erythematosus: A Diagnostic Conundrum (epmc).pdf DeepDyve Pubget Overpricing