Irby Ivania T, Leja Patrycia, Manning Donald, Limaye Kaustubh, Lahoti Sourabh
Psychiatry, Coliseum Medical Center, Macon, USA.
Miscellaneous, Carl Vinson Veterans Affairs Medical Center, Dublin, USA.
Cureus. 2019 Aug 19;11(8):e5424. doi: 10.7759/cureus.5424.
Aseptic meningitis as an initial and isolated manifestation of systemic lupus erythematosus (SLE) is extremely rare. About a third of patients with SLE have neuropsychiatric manifestations; however, less than 2% develop aseptic meningitis. Therefore, SLE as a cause of aseptic meningitis is commonly overlooked and leads to delayed or even missed diagnosis. We report a case of aseptic meningitis that was later discovered to be SLE and where instituting appropriate treatment led to clinical improvement.
无菌性脑膜炎作为系统性红斑狼疮（SLE）的首发及孤立表现极为罕见。约三分之一的SLE患者有神经精神表现；然而，不到2%的患者会发展为无菌性脑膜炎。因此，SLE作为无菌性脑膜炎的病因常被忽视，导致诊断延迟甚至漏诊。我们报告一例无菌性脑膜炎病例，该病例后来被发现是SLE，经采取适当治疗后临床症状改善。
