Catatonia y síndrome de Cotard en una paciente con lupus eritematoso sistémico: reporte de un caso

Claudia Elera-Fitzcarrald, Jeff Huarcaya-Victoria, Guilliam Beltrán

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva


Introduction: Systemic lupus erythematosus (SLE) is an autoimmune disease with multiorgan involvement, being the development of neuropsychiatric (NP) symptoms variable, in which the presentation of catatonia and Cotard syndrome (CoS) is rare. Case presentation: We report the case of a 29-year-old woman who was diagnosed with SLE in 2018 based on the presence of articular, serosal and, hematological manifestations and immunological abnormalities. During her hospitalization, inappropriate behaviors including repetitive and incoherent speech, visual and olfactory hallucinations developed, so NP involvement was considered, and quetiapine and methylprednisolone pulses were administered with good response. The patient was discharged to the care of her family, being stuporous, bradypsychic, with thought blockages and nihilistic delusions; in consequence, she was diagnosed with Cotard syndrome (CoS). Moreover, she presented symptoms of catatonia including mutism, catalepsy and rigidity. Treatment consisted of diazepam, aripiprazole 30 mg/day, fluoxetine 20 mg/day and prednisone 60 mg/day. Conclusion: Catatonia can be a manifestation of NPSLE in active SLE. Catatonic symptoms and CoS in NPSLE have never been described. This is the first report of a SLE patient exhibiting CoS and catatonia.

Título traducido de la contribuciónCatatonia and Cotard's Syndrome in a Patient With Systemic Lupus Erythematosus: A Case Report
Idioma originalEspañol
PublicaciónRevista Colombiana de Psiquiatria
EstadoAceptada/en prensa - 2023
Publicado de forma externa

Palabras clave

  • Catatonia
  • Cotard syndrome
  • Systemic lupus erythematosus


Profundice en los temas de investigación de 'Catatonia y síndrome de Cotard en una paciente con lupus eritematoso sistémico: reporte de un caso'. En conjunto forman una huella única.

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