title: Psychiatric manifestations in patients with dysautonomy associated with systemic lupus erythematosus.
abstract: The psychiatric manifestations of three patients with systemic lupus erythematosus (SLE) and neuropathic dysautonomic processes are described. All patients had a severe form of SLE with neurological, renal, articular, pulmonary or haematological manifestations. All three have two types of psychiatric manifestations: (1) a chronic and progressive depression and (2) a complex dissociative disorder during the acute episodes of postural hypotension. A provocative test with SPECT with 99mTc-HmPAO to be done during the episode of orthostatic hypotension may contribute to clinical assessment of complex changes in cerebral regional perfusion.
authors.affiliation: Rheumatology Unit, Fundación Valle del Lili, Colombia - ICESI University, Colombia. cacd12@hotmail.com
authors.forename: C A
authors.initials: CA
authors.lastname: Cañas
authors.forename: H G
authors.initials: HG
authors.lastname: Rincón-Hoyos
authors.forename: J H
authors.initials: JH
authors.lastname: Izquierdo
authors.forename: F
authors.initials: F
authors.lastname: Bonilla-Abadía
authors.forename: A
authors.initials: A
authors.lastname: Arbeláez-Cortés
mesh_terms: D000293:Adolescent; D020274:Autoimmune Diseases of the Nervous System / Q000000981:diagnostic imaging / Q000209:etiology / Q000523:psychology; D001342:Autonomic Nervous System Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000523:psychology*; D001921:Brain / Q000098:blood supply / Q000000981:diagnostic imaging; D002560:Cerebrovascular Circulation; D003863:Depression / Q000000981:diagnostic imaging / Q000209:etiology / Q000523:psychology; D004213:Dissociative Disorders / Q000000981:diagnostic imaging / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D007024:Hypotension, Orthostatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000523:psychology; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging / Q000523:psychology*; D019275:Radiopharmaceuticals; D019690:Technetium Tc 99m Exametazime; D015899:Tomography, Emission-Computed, Single-Photon; D055815:Young Adult
chemical_list: D019275:Radiopharmaceuticals; D019690:Technetium Tc 99m Exametazime