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Volume 32, Issue 2, June 2021




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Mediterr J Rheumatol 2021;32(2):164-7
Autoimmune Rheumatic Diseases Masquerading as Psychiatric Disorders: A Case Series
Authors Information

1. Department of Psychiatry, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India

2. Department of Pulmonary Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India

3. Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India

Padhan P 

Abstract

Background: Neurological involvement has been found in many autoimmune diseases, with psychiatric abnormalities such as anxiety, depression, psychosis, and cognitive dysfunction. Patients and Methods:  Here, we describe a series of 5 consecutive cases of autoimmune diseases presenting with psychiatric symptoms as the predominant manifestation. Result:  Our case series suggests that psychiatric symptoms, mainly depression, can be one of the presenting symptoms of several autoimmune diseases that often cause a significant delay in diagnosis. Conclusion: Any patient, particularly females, with a newly detected psychiatric disorder that responds poorly to medical management should be properly examined for underlying primary systemic autoimmune diseases.



Article Submitted: 21 Jun 2020; Revised Form: 13 Oct 2020; Article Accepted: 20 Oct 2020; Available Online: 30 Jun 2021

https://doi.org/10.31138/mjr.32.2.164

This work is licensed under a Creative Commons Attribution 4.0 International License (CC-BY). 

©Ravan JR, Chatterjee S, Singh P, Maikap D, Padhan P.