A Case Report of Steroid Induced Psychosis in a Female patient with Systemic Lupus Erythematous

SLE is a chronic autoimmune disease that is idiopathic and can affect and organ of the body. It may present with numerous neuropsychiatric manifestations such as cognitive dysfunction, organic brain syndromes, delirium, seizures, headache, psychosis etc. Relatively, psychosis is an uncommon neuropsychiatric manifestation. Psychosis can be due secondarily to long term, high hose glucocorticoids and due to lupus cerebritis. Steroids can cause a spectrum of psychiatric symptoms inclusive of mania, psychosis, anxiety and depression. On initial clinical examination it may be difficult for a clinician to determine the cause of psychosis as due to steroids or lupus cerebritis, especially since no single laboratory test is available presently to definitively confirm a diagnosis of lupus cerebritis.

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