Diagnóstico diferencial de sintomas psicóticos em paciente com lúpus eritematoso sistêmico em uso de corticosteroides: relato de caso

Abstract

Associations between autoimmune disease and psychosis suggest an important role of the immune system in the pathophysiology of psychotic symptoms in patients with schizophrenia and other psychotic disorders system. Psychotic symptoms are more frequently observed in patients with autoimmune diseases such as systemic lupus erythematosus (SLE). As well as, there is also an increased risk of psychotic symptoms during treatment with immunosuppressants. We report a case of a patient with SLE and discuss its difficulties in the differential diagnosis of psychotic symptoms in the presence of indicators of autoimmune activity and concomitant use of corticosteroids.