First episode of @entity716 can occur at any age and it can be primarily @entity146 or secondary to other @entity66 . It is of great therapeutic relevance to be cautious about organic etiology as early diagnosis can help in early @entity66 modifying treatments. To study @entity1 who presented with first episode of @entity716 and later turned out to be due to @entity1252 with varying periods of delay. Details of @entity1 who were considered as treatment unresponsive @entity716 and later turned out to be due to @entity1333 were entered in excel sheet and analyzed. The details of @entity1 including neuropsychological features, apparent soft signs which were initially ignored, lab data and signs during follow-up were tabulated and warning signs analysed. All our @entity1 were highly intelligent young females and there were stressors in all of them. They presented with @entity4697 , followed by @entity716 which was resistant to regular @entity146 treatment and therefore possibility of organicity explored. All of them had history of transient symptoms referable to other systems which were treated as such and @entity1 did not volunteer the same unless questioned. During follow-up full-fledged features of @entity1252 came up in all @entity1 . When a young female with no past or family history of @entity1032 presents with @entity716 features, unprovoked @entity4697 , and limbic symptoms always ask for minor or transient symptoms and signs referable to the other systems which might give valuable clues.

New Onset XXXX as The First Manifestation of Neuro-Psychiatric Lupus. A Situation Causing Diagnostic Dilemma.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental illness'] @entity66 :: ('MESH:D004194', 'Disease') :: ['initiation of disease', 'occult diseases'] @entity4697 :: ('MESH:D016584', 'Disease') :: ['panic'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric'] @entity1333 :: ('MESH:D014657', 'Disease') :: ['vasculitis'] @entity1252 :: ('MESH:D008180', 'Disease') :: ['SLE', 'lupus erythematosus'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychotic symptoms', 'psychotic', 'psychosis']
@entity716 :: (MESH:D011605,Disease) :: ['Psychosis']
