Abstract

MONTOYA, Karla Giovanna; SALGADO-HERRERA, Any; ALARCON-RUIZ, Christoper A.  and  LAMA-VALDIVIA, Jaime. Neurological late-onset lupus associated with cerebrovascular accident in the elderly: Case report and rapid systematic review. Rev. Cuerpo Med. HNAAA [online]. 2022, vol.15, n.3, pp.444-449.  Epub Oct 30, 2022. ISSN 2225-5109.  http://dx.doi.org/10.35434/rcmhnaaa.2022.153.1397.

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.

Keywords : Lupus Erythematosus, Systemic; Aged; Polyneuropathies.

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