Display options
Share it on

Psychiatry (Edgmont). 2010 Apr;7(4):31-6.

A Case of Mania in a Patient with Systemic Lupus Erythematosus: Can Its Inflammatory Pathogenesis be Applied to Primary Mood Disorders?.

Psychiatry (Edgmont (Pa. : Township))

David R Spiegel, Lindsay Holtz, Kokil Chopra

Affiliations

  1. Dr. Spiegel is from Eastern Virginia Medical School, Norfolk, Virginia.

PMID: 20508806 PMCID: PMC2877619

Abstract

Systemic lupus erythematosus is a chronic inflammatory condition caused by an autoimmune disease. Systemic lupus erythematosus has been described as inducing neuropsychiatric symptoms, including mania and psychosis, in approximately 14 to 80 percent of systemic lupus erythematosus patients. We present and discuss the differential diagnoses in a patient with mania and systemic lupus erythematosus being treated with immunosuppresants and also with a history of glucose-6-phosphate dehydrogenase deficiency. Finally, we review the potential pathogenesis of mania due to an inflammatory-mediated etiology and how this may be used to partly explain the pathogenesis of primary mood disorders.

References

  1. Clin Pharmacol Ther. 1972 Sep-Oct;13(5):694-8 - PubMed
  2. Hum Psychopharmacol. 2008 Mar;23(2):87-94 - PubMed
  3. CNS Spectr. 2007 Mar;12(3 Suppl 4):1-13; quiz 14 - PubMed
  4. Arthritis Rheum. 2009 Jun 15;61(6):822-9 - PubMed
  5. Br J Psychiatry. 1978 Nov;133:429-35 - PubMed
  6. Reumatismo. 2006 Jul-Sep;58(3):177-86 - PubMed
  7. Neurology. 2003 Jul 8;61(1):104-7 - PubMed
  8. Arthritis Rheum. 1988 Feb;31(2):159-66 - PubMed
  9. Arthritis Rheum. 1996 Nov;39(11):1833-9 - PubMed
  10. J Rheumatol. 1991 Apr;18(4):535-9 - PubMed
  11. J Neuroimmunol. 1998 Jul 1;87(1-2):162-70 - PubMed
  12. Hippocampus. 2004;14(5):649-61 - PubMed
  13. J Psychosom Res. 2002 Aug;53(2):647-54 - PubMed
  14. Rheumatology (Oxford). 2008 Oct;47(10):1498-502 - PubMed
  15. Clin Exp Rheumatol. 1993 May-Jun;11(3):323-6 - PubMed
  16. J Neuroimmunol. 2009 Jul 25;212(1-2):3-9 - PubMed
  17. Arthritis Rheum. 2008 Mar;58(3):843-53 - PubMed
  18. JAMA. 2001 Dec 5;286(21):2703-10 - PubMed
  19. Medicine (Baltimore). 1989 May;68(3):141-50 - PubMed
  20. Curr Mol Pharmacol. 2009 Jan;2(1):95-109 - PubMed
  21. J Neuroendocrinol. 2005 Aug;17(8):475-82 - PubMed
  22. J Neuroimmunol. 2004 Jul;152(1-2):83-97 - PubMed
  23. Ann Gen Hosp Psychiatry. 2003 Jun 13;2(1):6 - PubMed
  24. Autoimmunity. 2002 Mar;35(2):79-86 - PubMed
  25. Yale J Biol Med. 2004 May;77(3-4):63-9 - PubMed
  26. Curr Psychiatry Rep. 2000 Aug;2(4):286-90 - PubMed
  27. Curr Rheumatol Rep. 2002 Aug;4(4):337-44 - PubMed
  28. Psychosomatics. 2009 Sep-Oct;50(5):543-7 - PubMed
  29. J Neuroimmunol. 2000 Nov 1;111(1-2):93-101 - PubMed
  30. Brain. 2002 Jul;125(Pt 7):1428-49 - PubMed

Publication Types