KMID : 0371719970130010029
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Wonkwang Psychiatry 1997 Volume.13 No. 1 p.29 ~ p.41
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Abstract
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We had a 22 years old female patient with systemic lupus erythematosus(SLE) who was admitted a major depressive disorder. She showed symptoms such as a depressive mood, loss of appetite, weight loss, insomina, fatigue, but she did not show
characteristic symptoms of SLE when she came to hospital.
During treatment using antidepressant and psychotherapy, she reported that the had experienced Raynaud phenomenon and arthralgia. Mild fever, leukopenia, normochromic normocytic anemia and elevated erythrocyte sedimentation rate were detected on
hers
routine laboratory examination. We were considered autoimmune disease and specific hematological tests were one. As a result of specific hematological tests, we confirmed that she had SLE and we started medication treatment with prednisolone.
After treating the patient with prednisolone for 2 weeks, psychiatric and physical symptoms of SLE improved.
In this case, psychiatrists have to pay attention to SLE that could manifestate depressive symptoms without characteristic symptoms of SLE.
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