title: Acute psychosis presenting in a patient with systemic lupus erythematosus: Questions and Answers.
abstract: A 17-year-old girl recently diagnosed with systemic lupus erythematosus (SLE) presented to the Emergency Room with acute onset of psychosis. A variety of potential etiologies, including those related to SLE, to the treatment of her SLE, or to another psychiatric condition, are discussed. In addition, the work-up and management decisions for this patient are reviewed in detail.
authors: Division of Nephrology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA. SharmaS2@email.chop.edu.
authors: Sheena
authors: S
authors: Sharma
authors: Division of Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Melissa A
authors: MA
authors: Lerman
authors: Division of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Mark P
authors: MP
authors: Fitzgerald
authors: Division of Nephrology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA.
authors: Rebecca L
authors: RL
authors: Ruebner
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis / Q000188:drug therapy*; D008181:Lupus Nephritis / Q000175:diagnosis / Q000188:drug therapy*; D011239:Prednisolone / Q000009:adverse effects*; D011605:Psychoses, Substance-Induced / Q000175:diagnosis / Q000209:etiology*
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone
keywords: Acute psychosis; Corticosteroids; Systemic lupus erythematosus