Apresentação clínica inicial com envolvimento neurológico de lúpus eritematoso sistêmico; relato de caso clínico com vasculite cerebral, uma apresentação rara
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Apresentamos o caso de uma paciente de 27 anos que apresentou fraqueza nos membros, alucinações e artralgia com duração de duas semanas, sem histórico médico positivo ou doença autoimune. O exame físico revelou diminuição da força muscular nos membros, bem como manifestações visuais correspondentes a alucinações. Os resultados laboratoriais mostraram uma resposta inflamatória sistêmica com altos níveis de ANAs, baixo complemento e evidência radiológica de vasculite em artérias cerebrais de pequeno e médio calibre. Como resultado, o tratamento para Lúpus Eritematoso Sistêmico foi iniciado. No entanto, a ventilação mecânica invasiva foi necessária devido à insuficiência respiratória com derrames múltiplos e pericárdicos. Finalmente, os resul-tados do tratamento foram positivos e a paciente recebeu alta sem sinais ou sintomas neurológicos ou respiratórios, ou quaisquer sequelas.
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