Neuropsychiatric systemic Lupus Erythematosus (NPSLE) – Masquerade diagnosis: A case report

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

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Main Authors:	Mohd Hanafi, Mohd Sharil Iman, Che Man, Mohammad, Che Alhadi, Shahidah
Format:	Conference or Workshop Item
Language:	English English
Published:	2019
Subjects:	R Medicine (General) RA Public aspects of medicine
Online Access:	http://irep.iium.edu.my/76907/ http://irep.iium.edu.my/76907/1/MRS%202019%20Abstract%20%26%20Programme%20Book%20v1-1.pdf http://irep.iium.edu.my/76907/2/MRS%202019%20Abstract%20%26%20Programme%20Book%20v1-66.pdf

id	iium-76907
recordtype	eprints
spelling	iium-769072020-01-02T08:21:03Z http://irep.iium.edu.my/76907/ 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 Introduction: Diagnostic challenge is seen in Systemic Lupus Erythematosus (SLE) due to insidious onset, unpredictable course, broad spectrum of clinical presentation that mimic other diseases manifestation and possibility not fulfilling the classification criteria at the earlier course of the disease. Case report: 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. His multiple admissions to psychiatric ward were believed contributed by episode of lupus flare. Necessary investigation is important to exclude another medical condition before make a diagnosis of Schizophrenia using DSM-V criteria. 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 2019-10-19 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/76907/1/MRS%202019%20Abstract%20%26%20Programme%20Book%20v1-1.pdf application/pdf en http://irep.iium.edu.my/76907/2/MRS%202019%20Abstract%20%26%20Programme%20Book%20v1-66.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. In: Medical Research Symposium 2019: Expanding Research Collaboration in Health, 9 October 2019, IIUM Medical Centre, Kuantan Pahang. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English 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	Introduction: Diagnostic challenge is seen in Systemic Lupus Erythematosus (SLE) due to insidious onset, unpredictable course, broad spectrum of clinical presentation that mimic other diseases manifestation and possibility not fulfilling the classification criteria at the earlier course of the disease. Case report: 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. His multiple admissions to psychiatric ward were believed contributed by episode of lupus flare. Necessary investigation is important to exclude another medical condition before make a diagnosis of Schizophrenia using DSM-V criteria. 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
format	Conference or Workshop Item
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
publishDate	2019
url	http://irep.iium.edu.my/76907/ http://irep.iium.edu.my/76907/1/MRS%202019%20Abstract%20%26%20Programme%20Book%20v1-1.pdf http://irep.iium.edu.my/76907/2/MRS%202019%20Abstract%20%26%20Programme%20Book%20v1-66.pdf
first_indexed	2023-09-18T21:48:37Z
last_indexed	2023-09-18T21:48:37Z
_version_	1777413618036375552

Neuropsychiatric systemic Lupus Erythematosus (NPSLE) – Masquerade diagnosis: A case report

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