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KMID : 0371619980140020363
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Journal of Wonkwang Medical Science
1998 Volume.14 No. 2 p.363 ~ p.368
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A Case of Systemic Lupus Erythematosus Showing Major Depressive Disorder without it’s Characteristic Photosensitive Cutaneous Symptoms
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Lee Sang-Yeol
Park Min-Cheol
Choi Suck-Chei
Nah Yong-Ho
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Abstract
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We experienced a 22-years-old female patient with systemic lupus erythematosus (SLE) who was admitted with major depressive disorder symptoms such as a depressive mood, loss of appetite, weight loss, insomnia, and fatigue. She did not show any characteristic photosensitive cutaneous symptoms of SLE when she came to the hospital.
Antidepressants and psychotherapy under hospitalization did not show any improvements in her depressive symptoms. Her past history revealed Raynaud’s phenomenon and arthralgia, leukopenia, normochronic normocytic anemia and elevated erythrocyte sedimentation rate were detected on her routine laboratory examinations. We considered an autoimmune connective tissue disease and performed specific hematologic and immunologic tests. We confirmed that her systemic symptoms and results of specific tests were fitted to a case of SLE, so we started prednisolone medication. After treating the patient with prednisolone for 2 weeks, her psychiatric and systemic symptoms of SLE were improved.
We concluded that psychiatrists have to pay attention to SLE that can manifest depressive symptoms without characteristic photosensitive cutaneous symptoms of SLE.
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KEYWORD
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Systematic lupus erythematosus, Depression
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