Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report

Diagnostic challenge is seen in Systemic Lupus Erythematosus (SLE) due to insidious onset, unpredictable course and broad spectrum of clinical presentation [1]. SLE can mimic other diseases manifestation and possibility not fulfilling the classification criteria at the earlier course of the disease...

Full description

Bibliographic Details
Main Authors:	Mohd Hanafi, Mohd Sharil Iman, Che Man, Mohammad, Che Alhadi, Shahidah
Format:	Article
Language:	English
Published:	Science Forecast Publications 2019
Subjects:	R Medicine (General) RA Public aspects of medicine
Online Access:	http://irep.iium.edu.my/74793/ http://irep.iium.edu.my/74793/ http://irep.iium.edu.my/74793/1/Dr.%20Mohd%20Aug%20NPSLE.pdf

id	iium-74793
recordtype	eprints
spelling	iium-747932019-10-11T08:28:06Z http://irep.iium.edu.my/74793/ Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report Mohd Hanafi, Mohd Sharil Iman Che Man, Mohammad Che Alhadi, Shahidah R Medicine (General) RA Public aspects of medicine Diagnostic challenge is seen in Systemic Lupus Erythematosus (SLE) due to insidious onset, unpredictable course and broad spectrum of clinical presentation [1]. SLE can mimic other diseases manifestation and possibility not fulfilling the classification criteria at the earlier course of the disease [1]. We highlighted a case of a man, lived with diagnosis of Schizophrenia for almost 15 years subsequently revealed him suffered from neuropsychiatric lupus as he fulfilled the SLE classification criteria. His initial presentation was altered sensorium treated as acute psychosis- the tip of an iceberg to the underlying disease [2]. His multiple admissions to psychiatric ward were believed contributed by episode of lupus flare [2,3]. Necessary investigation is important to exclude another medical condition before make a diagnosis of Schizophrenia using DSM-V criteria [2]. The misdiagnosis has significantly impaired his social life and untreated disease had leads to morbidity and severe organ damage. This case emphasizes on the crucial aspect of assessing patient as a whole, follow-up the progression and re-evaluates patient’s condition for a new hint. Even though there is no cure yet for SLE, correct and early diagnosis is able to guide for individualized treatment and thus helping in good disease control that warrant better outcome [4]. Science Forecast Publications 2019-08-22 Article PeerReviewed application/pdf en http://irep.iium.edu.my/74793/1/Dr.%20Mohd%20Aug%20NPSLE.pdf Mohd Hanafi, Mohd Sharil Iman and Che Man, Mohammad and Che Alhadi, Shahidah (2019) Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report. Journal of Family Medicine Forecast, 2 (2). pp. 1-3. ISSN 2643-7864 https://scienceforecastoa.com/Articles/JFM-V2-E2-1021.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RA Public aspects of medicine
spellingShingle	R Medicine (General) RA Public aspects of medicine Mohd Hanafi, Mohd Sharil Iman Che Man, Mohammad Che Alhadi, Shahidah Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report
description	Diagnostic challenge is seen in Systemic Lupus Erythematosus (SLE) due to insidious onset, unpredictable course and broad spectrum of clinical presentation [1]. SLE can mimic other diseases manifestation and possibility not fulfilling the classification criteria at the earlier course of the disease [1]. We highlighted a case of a man, lived with diagnosis of Schizophrenia for almost 15 years subsequently revealed him suffered from neuropsychiatric lupus as he fulfilled the SLE classification criteria. His initial presentation was altered sensorium treated as acute psychosis- the tip of an iceberg to the underlying disease [2]. His multiple admissions to psychiatric ward were believed contributed by episode of lupus flare [2,3]. Necessary investigation is important to exclude another medical condition before make a diagnosis of Schizophrenia using DSM-V criteria [2]. The misdiagnosis has significantly impaired his social life and untreated disease had leads to morbidity and severe organ damage. This case emphasizes on the crucial aspect of assessing patient as a whole, follow-up the progression and re-evaluates patient’s condition for a new hint. Even though there is no cure yet for SLE, correct and early diagnosis is able to guide for individualized treatment and thus helping in good disease control that warrant better outcome [4].
format	Article
author	Mohd Hanafi, Mohd Sharil Iman Che Man, Mohammad Che Alhadi, Shahidah
author_facet	Mohd Hanafi, Mohd Sharil Iman Che Man, Mohammad Che Alhadi, Shahidah
author_sort	Mohd Hanafi, Mohd Sharil Iman
title	Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report
title_short	Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report
title_full	Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report
title_fullStr	Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report
title_full_unstemmed	Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report
title_sort	neuropsychiatric systemic lupus erythematosus (npsle) – masquerade diagnosis: a case report
publisher	Science Forecast Publications
publishDate	2019
url	http://irep.iium.edu.my/74793/ http://irep.iium.edu.my/74793/ http://irep.iium.edu.my/74793/1/Dr.%20Mohd%20Aug%20NPSLE.pdf
first_indexed	2023-09-18T21:45:51Z
last_indexed	2023-09-18T21:45:51Z
_version_	1777413443863707648

Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) – masquerade diagnosis: a case report

Similar Items