以精神异常为首发表现的系统性红斑狼疮1例分析

• 作 者: 刘敏 曹红
• 机 构: 大连医科大学附属第一医院神经内科,
• 出 处: 慢性病学杂志
• 发表日期: 2010年12期
• 关键词: 系统性红斑狼疮 精神障碍/诊断 双相情感障碍 碳酸锂 氯硝西泮 突发高热 情绪高涨 情绪控制 标志性抗体 躁狂

系统性红斑狼疮(SLE)以精神异常为首发症状的较少见,现报告1例如下。1病历摘要女,39岁。因精神异常3a,加重0.5个月,尿便潴留1周,于2010-04-15入院。3a前无明显诱因出现情绪低落与高涨,精神病院诊断为双相情感障碍。予“氯硝西泮,利培酮”治疗,情绪控制尚可。1a前再次出现情绪高涨,改用“碳酸锂”。2个月后突发高热,腹泻,四肢抖动,不能行走,向后倾倒,精神症状加重,

Systemic lupus erythematosus (SLE) with mental disorders as the first symptom is rare, a report is as follows. 1 medical record summary female, 39 years old. Due to mental abnormalities 3a, increased 0.5 months, urine retention 1 week, admitted on April 15, 2010. There was no obvious predisposition for depression and high depression, and psychiatric hospital was diagnosed as bipolar disorder. To “clonazepam, risperidone ” treatment, emotional control is acceptable. Again before the emergence of the mood of 1a, switch to “lithium carbonate ”. 2 months after a sudden high fever, diarrhea, limbs shaking, can not walk, dumping back, increased mental symptoms,