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首页> 外文期刊>Italian Journal of Medicine >Psychiatric disorders in systemic lupus erythematosus (SLE): a serious SLE-related crime
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Psychiatric disorders in systemic lupus erythematosus (SLE): a serious SLE-related crime

机译：系统性红斑狼疮（SLE）的精神病：严重的SLE相关犯罪

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Introduction: Systemic lupus erythematosus (SLE) is associated with CNS disorders in 50-90% of all cases. Thus far 19 neuropsychiatric syndromes have been reported in association with SLE, and many others will be added to this list in the future. Long-term observation and use of the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (Text Revision) is the solution for a correct diagnosis. Case report: The patient was an 18-year-old woman who had been charged with the attempted murder of an elderly woman in the latter’s home. According to the victim’s testimony, the young woman had entered the victim’s home under pretence and suddently attacked her with a hammer. The young woman denied all knowledge of the event. A few days after her arrest the patient was hospitalized for attempted suicide. The work-up that began with this hospitalization led to the diagnosis of an intermittent explosive disorder secondary to SLE. The authors analyze this case from the psychiatric, medical, and legal points of view. Conclusions: This is the first report of this type of disorder is a patient with SLE. The authors suggest that intermittent explosive disorder should be added to the list of neuropsychiatric syndromes associated with this disease.
机译：简介：系统性红斑狼疮（SLE）与所有病例的50-90％的中枢神经系统疾病有关。迄今为止，已经报道了与SLE相关的19种神经精神综合症，将来还会有许多其他综合症加入到该清单中。长期观察和使用《精神疾病诊断和统计手册》第4版（文本修订）是正确诊断的解决方案。病例报告：该患者是一名18岁的女人，她被指控企图谋杀一名老年妇女在其家中。根据受害人的证词，这名年轻女子假装进入受害人的家中，并用锤子突然袭击了她。这位年轻女子否认对此事件一无所知。她被捕后几天，患者因自杀未遂而住院。从住院治疗开始的检查导致诊断出继发于SLE的间歇性爆炸性疾病。作者从精神病学，医学和法律的角度分析了此案。结论：这是首次报告这种类型的疾病是SLE患者。作者建议，间歇性爆炸性疾病应添加到与该疾病相关的神经精神病综合症清单中。

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