PDF(Pubmed)
Abstract：
Cerebrovascular events remain a rare but serious feature of systemic lupus erythematosus (SLE). In this report, we see a 25-year-old lady who presented with sudden-onset right-sided weakness and speech disturbances. She was initiated on anti-platelet therapy and glucocorticoids. Her admission was complicated by worsening kidney function due to lupus nephritis. She responded well to immunosuppressant therapy and was discharged following resolution of her symptoms for outpatient specialist follow-up. The rarity of such cases poses a diagnostic and treatment challenge. A language barrier and difficult social circumstances can exacerbate this. However, awareness of neuropsychiatric lupus as a differential diagnosis at the acute assessment of stroke and early involvement of specialist teams, allied health professionals, and safeguarding teams can lead to a successful long-term outcome.
摘要：
脑血管事件仍然是系统性红斑狼疮（SLE）的罕见但严重的特征。在这份报告中,我们看到一位25岁的女士突然出现右侧无力和言语障碍。她开始接受抗血小板治疗和糖皮质激素。她因狼疮性肾炎导致肾功能恶化而入院。她对免疫抑制剂治疗反应良好，并在症状缓解后出院，接受门诊专家随访。此类病例的罕见性提出了诊断和治疗挑战。语言障碍和困难的社会环境会加剧这种情况。然而,意识到神经精神狼疮作为中风的急性评估和专家团队的早期参与的鉴别诊断，专职医疗人员,和保护团队可以导致一个成功的长期结果。
