Cognitive decline in an old woman: do not miss a rare etiology!

Nathalie Compte, Sandra De Breucker, Guy Decaux, Jean-Christophe Bier, Thierry Pepersack

Research output: Contribution to journalArticlepeer-review


Delirium is common in older people. It is a crucial diagnosis because it raises the morbidity and the mortality. Diagnostic tools like Mini Mental State Examination (MMSE), the confusion assessment method (CAM), and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSMIV), can help with the diagnosis. We report a case of a woman with neurological symptoms which look like dementia. We diagnosed systemic lupus erythematosus (SLE). The apparition of late-onset SLE is more insidious, which leads to misdiagnosis. We will discuss about the difficulty of the differential diagnosis between delirium, depression and dementia in our patient and the difficulty to manage treatment of neurolupus in older people.

Original languageEnglish
Pages (from-to)534-535
Number of pages2
JournalExperimental Gerontology
Issue number7
Publication statusPublished - Jul 2012

Bibliographical note

Copyright © 2012 Elsevier Inc. All rights reserved.


  • Aged
  • Delirium/diagnosis
  • Dementia/diagnosis
  • Diagnosis, Differential
  • Female
  • Humans
  • Lupus Vasculitis, Central Nervous System/diagnosis
  • Psychiatric Status Rating Scales


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