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Depression with psychotic features in a child with SLE: successful therapy with psychotropic medications--case report
Milica Pejovic Milovancevic1, Vladimir Miletic, Smiljka Popovic Deusic
1Institute of Mental Health, Belgrade, Serbia and Montenegro.
Abstract:
Systemic lupus erythematosus (SLE) is a multisystemic, autoimmune disease of unknown etiology, which affects multiple organ systems, including the central nervous system (CNS). Neuropsychiatric manifestations are seen in 13-75% of all SLE patients, with equal frequency in children and adults. Despite a high prevalence of psychiatric manifestations, there is no consensus on the proper treatment of such cases. We report here a case of an 11-year-old girl diagnosed with a severe depressive episode with psychotic features, treated successfully with risperidone and sertraline as an adjunct to immunosuppressive therapy.
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