Manifestasi Neuropsikiatrik pada Lupus Eritematosus Sistemik di RSUD Dr. Soetomo Surabaya

Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease with unknown causes and extensive clinical manifestations and diverse disease pathways. The clinical manifestations of SLE are very diverse, including the involvement of the nervous system and psychiatric s...

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Main Authors: Nadya Rinda Eka Rana, Awalia, Yetti Hernaningsih, Hanik Badriyah Hidayati
Format: Article PeerReviewed
Language:English
English
English
Published: Perhimpunan Dokter Spesialis Saraf Indonesia 2019
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Online Access:http://repository.unair.ac.id/106367/1/Manifestasi.pdf
http://repository.unair.ac.id/106367/2/MANIFESTASI%20NEUROPSIKIATRIK%20PADA%20LUPUS%20ERITEMATOSUS%20SISTEMIK%20DI%20RSUD%20DR.%20SOETOMO%20SURABAYA%20NEUROPSYCHIATRIC%20MANIFESTATION%20AMONG%20SYSTEMIC%20LUPUS%20ERYTHEMATOSUS%20PATIENTS%20IN%20GENERAL%20HOSPITAL%20SURABAYA.pdf
http://repository.unair.ac.id/106367/3/Bukti%20C-18%20Manifestasi.pdf
http://repository.unair.ac.id/106367/
http://www.neurona.web.id/paper-detail.do?id=1128
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Institution: Universitas Airlangga
Language: English
English
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Summary:Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease with unknown causes and extensive clinical manifestations and diverse disease pathways. The clinical manifestations of SLE are very diverse, including the involvement of the nervous system and psychiatric syndrome (neuropsychiatric). Aims: To describe clinical neuropsychiatric manifestations of patients with SLE in Soetomo General Hospital Surabaya. Methods: This was a cross-sectional study based on medical record data on all SLE patients treated at Dr. Soetomo Hospital Surabaya, from January-December 2017. Neuropsychiatric manifestations assessment were based on the nomenclature of the American College of Rheumatology (ACR) in 1999. Results: There were 49 patients, mostly women (98%) with mean age 30,8±10,2 years old. Neurological manifestation was the 3rd most common diagnosis (43%) after hematologic disorder (73.5%) arthritis (53.1%). The manifestations of neuropsychiatric manifestation were mainly seizures (40.8%), headache (34.7%), cerebrovascular disease (26.5%), acute confusional state (20.4%), cognitive dysfunction (6.1%), and polyneuropathy (8.2%). Discussion: The most common neuropsychiatric clinical features in SLE patients are seizures, headache, cerebrovascular disease, and acute confusional state.