Rheumatologic Diseases Initially Look Like Neurological Disorders

According to a recent report published in the journal Current Neurology and Neuroscience Reports, lupus and other rheumatologic diseases can initially present as neurological disorders, such as headaches and seizures, thus delaying diagnosis for many months. Additionally, the research shows that treatments for rheumatologic disorders can cause adverse neurological effects. Lupus can cause heart problems that lead to strokes. More than half of lupus patients suffer headaches, and a third suffer migraines. About 1.5 percent experience “lupus headache,” defined as a persistent, severe and intractable headache that does not respond to narcotic medications. As many as 20 percent experience seizures, and a third experience cognitive dysfunction. As many as 20 percent of lupus patients experience mood disorders. Lupus psychosis, which can include paranoia and hearing voices, can be confused with schizophrenia. Medications for patients with rheumatic disorders include immune-suppressing drugs and non-steroidal anti-inflammatory drugs. New medications have expanded treatment options. “However, these treatments also carry a risk of adverse neurological effects,” the author of the study notes. “Therefore, familiarity with neurological manifestations of rheumatologic diseases, diagnosis and potential nervous system consequences of treatment is paramount.” To read more about this study, click here.