Catatonia and systemic lupus erythematosus: a clinical study of three cases.
Catatonia may be encountered in psychiatric disorders, but also in general medical conditions. Cases of catatonia associated with systemic lupus erythematosus (SLE) are rare. Several articles have described this symptomatic association, as well as its management, using electroconvulsive therapy, plasma exchange or benzodiazepines. We report three cases here of patients who presented with catatonia during a lupus relapse, in whom treatment with lorazepam improved the catatonic symptomatology, thus allowing the associated condition to be treated. We touch on several points about the diagnosis, etiology and treatment of catatonia, when it is associated with SLE.
Brelinski
Lucie
L
Consultation Liaison Psychiatry, Department of Addictology, University Hospital of Lille, 59037 Lille Cedex, France.
Cottencin
Olivier
O
Guardia
Dewy
D
Anguill
Jean Dominique
JD
Queyrel
Viviane
V
Hatron
Pierre Yves
PY
Goudemand
Michel
M
Thomas
Pierre
P
D000293:Adolescent; D014151:Anti-Anxiety Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002389:Catatonia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D015897:Comorbidity; D005260:Female; D005602:France; D006801:Humans; D008140:Lorazepam / Q000008:administration & dosage / Q000627:therapeutic use; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000523:psychology; D008875:Middle Aged; D013315:Stress, Psychological / Q000188:drug therapy; D016896:Treatment Outcome; D055815:Young Adult
D014151:Anti-Anxiety Agents; D008140:Lorazepam