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Updated: Jun 23, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
07:30

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Published on: April 23, 2021

Cognitive dysfunction in systemic lupus erythematosus: prevalence and correlates.

J Olazarán1, J López-Longo, I Cruz

  • 1Neurology, Services, Gregorio Marañón General University Teaching Hospital, Madrid, Spain. javier@mariawolff.es

European Neurology
|May 2, 2009
PubMed
Summary

Cognitive dysfunction is common in women with non-neuropsychiatric systemic lupus erythematosus (nSLE), impacting social functioning. This study highlights the need to assess cognitive health in nSLE patients.

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Area of Science:

  • Neuroscience
  • Rheumatology
  • Psychology

Background:

  • Systemic lupus erythematosus (SLE) can affect the brain, but cognitive dysfunction in patients without major neuropsychiatric symptoms (nSLE) is poorly understood.
  • Understanding cognitive impairment in nSLE is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the prevalence and characteristics of cognitive dysfunction in female patients with nSLE compared to healthy controls.
  • To explore potential correlations between cognitive dysfunction, clinical markers, and sociodemographic factors in nSLE.

Main Methods:

  • Recruited 31 female nSLE patients and 31 healthy female controls.
  • Collected sociodemographic, clinical, neuropsychological data, and SLE-related markers.
  • Utilized single-photon emission computed tomography (SPECT) to assess cerebral perfusion.

Main Results:

  • Cognitive dysfunction was significantly more prevalent in nSLE patients (32.3%) than in controls (6.5%, p=0.01).
  • Cognitive complaints correlated with depressive symptoms (r=0.35, p=0.05) and dysfunction with less skilled occupation (r=-0.41, p=0.02) in nSLE.
  • All cognitive domains were similarly affected in the nSLE group.

Conclusions:

  • Cognitive dysfunction is frequent in nSLE patients and can negatively impact social functioning.
  • Further research into the mechanisms and management of cognitive impairment in nSLE is warranted.