Neurological late-onset lupus associated with cerebrovascular accident in the elderly: Case report and rapid systematic review
- Karla Giovanna Montoya,
- Any Salgado-Herrera,
- Christoper A. Alarcon-Ruiz(corresponding author),
- Jaime Lama-Valdivia
- Museo de Historia Natural, Universidad Ricardo Palma,
- Universidad San Ignacio de Loyola,
- Hospital Nacional Hipólito Unanue
Open access
Publication Information
Output type
Original language
SpanishJournal (Volume, Issue Number)
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo (Volume 15, Issue 3)Publication milestones
- Published - 07/2022
Publication status
ISSN
2225-5109Publication IDs
- Scopus: 85144418053
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.