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Chorea associated with systemic lupus erythematosus- a systematic review
Paulo Rogério Julio1,2, Carla Helena Capello1,2, Jaqueline Cristina de Amorim1,2
1Graduate Student at Child and Adolescent Health Program- School of Medical Science- University of Campinas, Campinas, Brazil.
Chorea, a movement disorder, is a rare manifestation in systemic lupus erythematosus (SLE), affecting 1.1% of patients. It often appears before or at diagnosis, particularly in childhood-onset SLE.
Area of Science:
- Neurology
- Rheumatology
- Immunology
Background:
- Chorea is a recognized neuropsychiatric manifestation of systemic lupus erythematosus (SLE).
- Understanding its prevalence and associated features is crucial for patient management.
Purpose of the Study:
- To determine the prevalence of chorea in SLE patients.
- To identify clinical and laboratory features associated with chorea in SLE.
- To review and propose an investigation and treatment scheme for chorea in SLE.
Main Methods:
- A comprehensive literature review adhering to PRISMA guidelines.
- Searched PubMed and Scielo databases for articles published between September 1999 and January 2024.
- Included cohort studies, case series, and case reports using specific MESH terms related to chorea and SLE.
Main Results:
- Pooled prevalence of chorea in SLE patients was 1.1%.
- No association found between chorea and clinical/immunological features in cohort studies.
- In case series/reports, chorea often preceded or coincided with SLE diagnosis, especially in childhood-onset SLE.
Conclusions:
- Chorea is an infrequent manifestation in SLE.
- Factors contributing to chorea in SLE require further investigation, particularly in large cohort studies.
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