Evidence map›Paper›PMID 36582883›Full record

ArticleAnnals of medicine and surgery (2012)2022

Psychotic symptoms in a patient with Systemic Lupus Erythematosus: A diagnostic dilemma between lupus psychosis and steroid induced psychosis.

Bishnu Deep Pathak, Binit Upadhaya Regmi, Bishal Dhakal, Sushil Joshi, Nabin Simkhada, Suhail Sapkota, Sushant Joshi, Sujan Rana Thapa

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Annals of medicine and surgery (2012), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Bishnu Deep PathakJibjibe Primary Health Care Center, Rasuwa, Nepal.
Binit Upadhaya RegmiJibjibe Primary Health Care Center, Rasuwa, Nepal.
Bishal DhakalNepalese Army Institute of Health and Sciences, Kathmandu, Nepal.
Sushil JoshiNepalese Army Institute of Health and Sciences, Kathmandu, Nepal.
Nabin SimkhadaNepalese Army Institute of Health and Sciences, Kathmandu, Nepal.
Suhail SapkotaNepalese Army Institute of Health and Sciences, Kathmandu, Nepal.
Sushant JoshiDepartment of Psychiatry and Mental Health, TUTH, IOM, Maharajgunj, Nepal.
Sujan Rana ThapaNepalese Army Institute of Health and Sciences, Kathmandu, Nepal.
Nepalese Army Institute of Health Services · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Systemic Lupus Erythematosus (SLE) is a chronic auto-immune disorder with the involvement of multiple organ systems. It is more common in females. Case presentation: Here, we present a case of 12-year-old female, known case of SLE with lupus nephritis, presenting with neuropsychiatric symptoms. She was under steroids as well for a few weeks due to flare-up of symptoms prior to that. Due to this, there was a diagnostic dilemma between lupus psychosis and steroid induced psychosis. Clinical discussion: Approximately one third to half of the patients may have neurological involvement in Systemic Lupus Erythematosus. However, neuropsychiatric symptoms in them could be due to corticosteroids, which are frequently used in treatment. There are no definitive and easily available laboratory markers to distinguish these two aetiologies. Conclusions: Systemic Lupus Erythematosus patients, who are on steroids, with neuropsychiatric features should be assessed adequately. As there are no specific guideline and biomarkers to distinguish between these two, meticulous evaluation is necessary for appropriate management.

Indexed as

PsychiatrySteroidsSystemic lupus erythematosus

Identifiers

PMID36582883
PMCPMC9793111
OpenAlexW4309781056

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.