Recurrent left ischemic stroke in a patient with systemic lupus erythematosus: A case report

Author:

Aryal Ananda1,Aryal Anita2ORCID,Kshetri Dipika2,Karki Sagun3,Khadka Sabina3ORCID

Affiliation:

1. All Nepal Hospital Kathmandu Nepal

2. Department of Physiotherapy Kathmandu University School of Medical Sciences Dhulikhel Nepal

3. College of Medicine Nepalese Army Institute of Health Sciences Kathmandu Nepal

Abstract

Key Clinical MessageSome studies have manifested the relationship between SLE and stroke. Therefore, it is very important to pay close attention to the diagnosis of SLE in recurring stroke. In our case, her recurrent stroke attack might be due to the undiagnosed cause of SLE.AbstractAn ischemic stroke is a medical emergency condition which occurs when blood supply to part of the brain is blocked. Early action is needed; therefore, time is crucial. SLE is an autoimmune disease with multiple joint pain, fever, rashes, and organ damage. We report an old lady who was recently diagnosed with SLE with multiple stroke attack. Although she was diagnosed with SLE much later there was a suspicious about the possible mechanism for her recurrent ischemic stroke. She was given antiplatelet, antiepileptic, antihypertensive, and hydroxychloroquine medicines for the treatment. The neurological symptoms improved only after we provided physiotherapy.

Publisher

Wiley

Subject

General Medicine

Reference18 articles.

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2. Package of Essential Non‐communicable Diseases (PEN) [Internet]. [cited 2023 Jul 8].https://mohp.gov.np/program/package‐of‐essential‐non‐communicable‐diseases‐(pen)/en

3. Burden of Non‐communicable Diseases in Nepal: An Urgent Need for Actions [Internet]. Nepal Health Research Council. [cited 2023 Jul 8].https://nhrc.gov.np/publication/burden‐of‐non‐communicable‐diseases‐in‐nepal‐an‐urgent‐need‐for‐actions/

4. The Burden and Determinants of Non Communicable Diseases Risk Factors in Nepal: Findings from a Nationwide STEPS Survey

5. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022

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