SLEによる精神症状-その臨床的側面

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During the period from January 1975 to July 1983,5l patients with the clinical diagnosis of S. L. E. (Systemic Lupus Erythematosus) were admitted to the internal, pediatric and dermatologic departments of Kinki University Hospital. The medical records of this group were reviewed with special attention given to the clinico-psychiatric points of view of S. L. E.. Seventeen patients had significant psychiatric problems during the course of their illness. We noticed that teem-aged patients had more frequent and severe psychiatric manifestations than other older patients. The principal psychiatric manifestations were as follows. a) Evident impairment of consciousness grand-mal seizures and/or coma : 4 cases, delirium : 3 cases b) Psychoses with slight impairments of consciousness paranoid-hallucinatoric state : 1 case, emotional disturbances : 2 cases, personality-regression : 1 case c) Episodes of functional psychoses schizophrenia-like psychosis : 1 case, depression : 3 cases d) Neurasthenic states : 3 cases e) Disturbance of behavior : 1 case Two patients showed 2 different types of psychiatric episodes respectively. Steroids were thought to be responsible for psychoses in 3 patients. 4 patients attempted suicide in the height of their depression, agitation or disturbance of ego-consciousness. From the clinical point of view, we pointed out the importance of detecting slight impairments of consciousness in the psychiatric manifestations of S.L.E. and prevention of their suicide.
日本心身医学会の論文
1986-10-01

SLEによる精神症状-その臨床的側面

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