Mania occurring during systemic lupus erythematosus relapse and its amelioration on clinical and neuroimaging follow-up

T. Hirachi, H. Ishii, Y. Tada, T. Noguchi, Y. Haraguchi, H. Tateishi, Y. Mizoguchi, T. A. Kato, T. Kawashima, A. Monji

Research output: Contribution to journalArticle

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Abstract

Psychiatric manifestations of systemic lupus erythematosus (SLE) that are commonly preceded by organic syndromes include confusional states, anxiety disorder, cognitive dysfunction, mood disorder and psychosis. A 35-year-old woman was admitted to hospital with a relapse of SLE. Laboratory data were exacerbated, with some physical symptoms, and her primary psychiatric symptom was mania. The symptoms were reduced by treatment with prednisolone, methylprednisolone and aripiprazole. Magnetic resonance imaging and single-photon emission computed tomography (SPECT) using 123I-IMP was then performed and analyzed with three-dimensional stereotactic surface projection. This case emphasizes that SLE can commence with organic syndromes and relapse with predominantly psychiatric symptoms, and that the treatment efficacy may be confirmed using a follow-up of SPECT.

Original languageEnglish
Pages (from-to)990-993
Number of pages4
JournalLupus
Volume24
Issue number9
DOIs
Publication statusPublished - Aug 25 2015

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Bipolar Disorder
Neuroimaging
Systemic Lupus Erythematosus
Psychiatry
Single-Photon Emission-Computed Tomography
Recurrence
Confusion
Inosine Monophosphate
Methylprednisolone
Prednisolone
Anxiety Disorders
Mood Disorders
Psychotic Disorders
Magnetic Resonance Imaging
Therapeutics

All Science Journal Classification (ASJC) codes

  • Rheumatology

Cite this

Hirachi, T., Ishii, H., Tada, Y., Noguchi, T., Haraguchi, Y., Tateishi, H., ... Monji, A. (2015). Mania occurring during systemic lupus erythematosus relapse and its amelioration on clinical and neuroimaging follow-up. Lupus, 24(9), 990-993. https://doi.org/10.1177/0961203315570161

Mania occurring during systemic lupus erythematosus relapse and its amelioration on clinical and neuroimaging follow-up. / Hirachi, T.; Ishii, H.; Tada, Y.; Noguchi, T.; Haraguchi, Y.; Tateishi, H.; Mizoguchi, Y.; Kato, T. A.; Kawashima, T.; Monji, A.

In: Lupus, Vol. 24, No. 9, 25.08.2015, p. 990-993.

Research output: Contribution to journalArticle

Hirachi, T, Ishii, H, Tada, Y, Noguchi, T, Haraguchi, Y, Tateishi, H, Mizoguchi, Y, Kato, TA, Kawashima, T & Monji, A 2015, 'Mania occurring during systemic lupus erythematosus relapse and its amelioration on clinical and neuroimaging follow-up', Lupus, vol. 24, no. 9, pp. 990-993. https://doi.org/10.1177/0961203315570161
Hirachi, T. ; Ishii, H. ; Tada, Y. ; Noguchi, T. ; Haraguchi, Y. ; Tateishi, H. ; Mizoguchi, Y. ; Kato, T. A. ; Kawashima, T. ; Monji, A. / Mania occurring during systemic lupus erythematosus relapse and its amelioration on clinical and neuroimaging follow-up. In: Lupus. 2015 ; Vol. 24, No. 9. pp. 990-993.
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