Lupus de inicio tardío neurológico asociado a accidente cerebrovascular en el adulto mayor: Reporte de caso y revisión sistemática rápida

Karla Giovanna  Montoya; Any  Salgado-Herrera; Christoper A. Alarcon-Ruiz; Jaime Lama-Valdivia

doi:10.35434/rcmhnaaa.2022.153.1397

Authors

Karla Giovanna Montoya Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú
Any Salgado-Herrera Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú
Christoper A. Alarcon-Ruiz Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú
Jaime Lama-Valdivia Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. Servicio de Geriatría, Hospital Nacional Hipólito Unanue, Lima, Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2022.153.1397

Keywords:

Lupus Erythematosus, Systemic, Aged, Polyneuropathies

Abstract

Background: Late-onset Systemic Lupus Erythematosus (SLE) is rare and affects older adults. Case report: A 71-year-old woman is reported with generalized weakness and muscle strength loss, which increased suddenly after a hemorrhagic stroke. The patient presented a torpid evolution for six months. The diagnosis of late-onset SLE was confirmed with antinuclear antibodies (+) and compliance with criteria for SLE and neurolupus, with significant improvement after two weeks of treatment. We made a rapid systematic review and found few similar cases with peripheral neuropathy. Conclusion: It is necessary to consider late-onset SLE with peripheral neuropathy in older adults with muscle weakness, as an atypical clinical presentation and the need for confirmatory tests.

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Author Biographies

Karla Giovanna Montoya, Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú

Estudiante de medicina

Any Salgado-Herrera, Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú

Estudiante de medicina

Christoper A. Alarcon-Ruiz, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú

Médico cirujano

Jaime Lama-Valdivia, Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. Servicio de Geriatría, Hospital Nacional Hipólito Unanue, Lima, Perú

Médico geriatra

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