title: [Psychiatric Disorders in Pediatric Patients With Systemic Lupus Erythematosus in a Reference Hospital].
abstract: OBJECTIVE
  To describe the psychiatric manifestations in pediatric patients with systemic erythematous lupus seen in the Fundación Hospital de la Misericordia.
  
  
  METHODS
  Observational descriptive study. Medical charts and test results of inpatients and outpatients between 2007 and2013 were reviewed; 39 patients were selected. SPSS 19 was used for statistical analysis. Statistical significance was considered with P=.05.
  
  
  RESULTS
  Mean age was 13.7 (2.33), with 78.9% female. The most frequent psychiatric manifestation was anxiety (52.6%), followed by adjustment disorder and depression (36.8% each one), psychosis (10%), conversion disorder (7.9%), and obsessive compulsive disorder (5.3%). The mean SLICC score was 2.76 (2.8), and the mean SLEDAI score was 20.81 (20.82). Antinuclear antibodies were positive in 81.25%. Neuropsychiatric lupus was diagnosed in 65.8% of patients; seizures were observed in 23.7%, headache in 36.8%, stroke in 13.2%, vasculitis, chorea 5.3%, and meningitis 5.3% of patients. The mean time from lupus diagnosis was 20.47 (22.2) months, with the shortest period for adjustment disorder and the longest period in patients with conversion disorder (pseudo-seizures) being 15 months and 31 months, respectively. The highest SLEDAI score was in patients with psychosis (35.5 [16.21] vs 19.08 [13.72]; P=.032), and also the highest disease damage (SLICC, 4.25 [4.03] vs 2.58 [2.67]; P=.27) in comparison with the other manifestations.
  
  
  CONCLUSIONS
  The most frequent psychiatric manifestations were anxiety, depression, and adjustment disorder, with a higher frequency than other studies, and with lupus activity principally in patients with psychosis.
authors.affiliation: Residente Cuarto año de Neuropediatría, Universidad Nacional de Colombia, Bogotá, Colombia. Electronic address: yecazuza@gmail.com.
authors.forename: Yenny Carolina
authors.initials: YC
authors.lastname: Zuñiga Zambrano
authors.affiliation: Psiquiatra infantil y de adolescentes, docente, Universidad Nacional de Colombia, Bogotá, Colombia.
authors.forename: Rafael
authors.initials: R
authors.lastname: Vásquez
keywords: Anxiety disorders; Child psychiatry; Depresión; Depression; Lupus eritematoso sistémico; Psiquiatría infantil; Psychotic disorders; Systemic lupus erythematosus; Trastornos de ansiedad; Trastornos psicóticos