Cognitive decline in an old woman: do not miss a rare etiology!

Experimental Gerontology
Nathalie CompteThierry Pepersack

Abstract

Delirium is common in older people. It is a crucial diagnosis because it raises the morbidity and the mortality. Diagnostic tools like Mini Mental State Examination (MMSE), the confusion assessment method (CAM), and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSMIV), can help with the diagnosis. We report a case of a woman with neurological symptoms which look like dementia. We diagnosed systemic lupus erythematosus (SLE). The apparition of late-onset SLE is more insidious, which leads to misdiagnosis. We will discuss about the difficulty of the differential diagnosis between delirium, depression and dementia in our patient and the difficulty to manage treatment of neurolupus in older people.

References

Oct 1, 1989·Arthritis and Rheumatism·M M Ward, R P Polisson
Nov 1, 1994·Clinical and Experimental Rheumatology·D Alarcón-Segovia
Mar 1, 1995·Journal of Neurology, Neurosurgery, and Psychiatry·K KodamaN Shinoda
Jun 30, 1994·The New England Journal of Medicine·J A Mills
Mar 4, 1999·The New England Journal of Medicine·S K InouyeL M Cooney
May 12, 2001·Journal of the American Geriatrics Society·G A HeckmanJ A Denburg
Feb 2, 2002·Journal of Clinical Nursing·M J SchuurmansL M Shortridge-Baggett
Jan 15, 2008·Autoimmunity Reviews·J Rovenský, A Tuchynová
Feb 5, 2010·Practical Neurology·Fady G Joseph, Neil J Scolding
Jan 24, 2012·Drugs & Aging·Laurent ArnaudZahir Amoura

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