Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus
The case of an elderly patient who had chorea as an initial symptom of systemic lupus erythematosus (SLE) accompanied by antiphospholipid syndrome (APS) is reported. A 68-year-old woman suddenly developed chorea of her left arm and leg. Magnetic resonance imaging (MRI) of the brain demonstrated a fo...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/317082 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565610536501248 |
|---|---|
| author | Yuko Ariizumi Tetsutaro Ozawa Takayoshi Tokutake Izumi Kawachi Masaki Hirose Shinichi Katada Shuichi Igarashi Keiko Tanaka Masatoyo Nishizawa |
| author_facet | Yuko Ariizumi Tetsutaro Ozawa Takayoshi Tokutake Izumi Kawachi Masaki Hirose Shinichi Katada Shuichi Igarashi Keiko Tanaka Masatoyo Nishizawa |
| author_sort | Yuko Ariizumi |
| collection | DOAJ |
| description | The case of an elderly patient who had chorea as an initial symptom of systemic lupus erythematosus (SLE) accompanied by antiphospholipid syndrome (APS) is reported. A 68-year-old woman suddenly developed chorea of her left arm and leg. Magnetic resonance imaging (MRI) of the brain demonstrated a focal lesion in the right caudate head, which showed hyperintensity on fluid-attenuated inversion recovery and diffusion-weighted imaging. This condition was thought to be a common form of vascular chorea, which is likely to occur in elderly individuals; however, the laboratory data of this patient finally fulfilled the diagnostic criteria of SLE and APS. Physicians should be careful in diagnosing elderly individuals simply as having a vascular chorea because this symptom can be the initial manifestation of SLE or APS. |
| format | Article |
| id | doaj-art-d3466855f86f4929a47dea8101f308b2 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-d3466855f86f4929a47dea8101f308b22025-02-03T01:07:17ZengWileyCase Reports in Neurological Medicine2090-66682090-66762012-01-01201210.1155/2012/317082317082Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus ErythematosusYuko Ariizumi0Tetsutaro Ozawa1Takayoshi Tokutake2Izumi Kawachi3Masaki Hirose4Shinichi Katada5Shuichi Igarashi6Keiko Tanaka7Masatoyo Nishizawa8Department of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanDepartment of Neurology, Kanazawa Medical University, Ishikawa 920-0293, JapanDepartment of Neurology, Brain Research Institute Niigata University, Niigata 951-8585, JapanThe case of an elderly patient who had chorea as an initial symptom of systemic lupus erythematosus (SLE) accompanied by antiphospholipid syndrome (APS) is reported. A 68-year-old woman suddenly developed chorea of her left arm and leg. Magnetic resonance imaging (MRI) of the brain demonstrated a focal lesion in the right caudate head, which showed hyperintensity on fluid-attenuated inversion recovery and diffusion-weighted imaging. This condition was thought to be a common form of vascular chorea, which is likely to occur in elderly individuals; however, the laboratory data of this patient finally fulfilled the diagnostic criteria of SLE and APS. Physicians should be careful in diagnosing elderly individuals simply as having a vascular chorea because this symptom can be the initial manifestation of SLE or APS.http://dx.doi.org/10.1155/2012/317082 |
| spellingShingle | Yuko Ariizumi Tetsutaro Ozawa Takayoshi Tokutake Izumi Kawachi Masaki Hirose Shinichi Katada Shuichi Igarashi Keiko Tanaka Masatoyo Nishizawa Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus Case Reports in Neurological Medicine |
| title | Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus |
| title_full | Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus |
| title_fullStr | Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus |
| title_full_unstemmed | Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus |
| title_short | Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus |
| title_sort | chorea as the first sign in a patient with elderly onset systemic lupus erythematosus |
| url | http://dx.doi.org/10.1155/2012/317082 |
| work_keys_str_mv | AT yukoariizumi choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT tetsutaroozawa choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT takayoshitokutake choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT izumikawachi choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT masakihirose choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT shinichikatada choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT shuichiigarashi choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT keikotanaka choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus AT masatoyonishizawa choreaasthefirstsigninapatientwithelderlyonsetsystemiclupuserythematosus |