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Rheumatic manifestations of neurologic & psychiatric diseases

  [ 14 votes ]   [ Discuss This Article ]
By Avina-Zubieta JA, Paez F, Galindo-Rodriguez G • • January 5, 1997

Rheumatic diseases have not proved to be more prevalent among
neurologic or psychiatric patients than in the general
population, except for osteoarthritis in some chronic
disabling neurologic conditions (poliomyelitis, spinal cord
injury). Some neurologic entities with relevant
musculoskeletal manifestations are described here. The lower
prevalence of rheumatoid arthritis in schizophrenia patients
is mentioned, and a brief description is presented of
somatoform disorders that may confound diagnosis with
rheumatic diseases. Factitious disorders and malingering are
frequently presented with rheumatic complaints such as low
back pain and may have an important impact on the costs
associated with the disease. Finally, some of the immune
system abnormalities described in major depression and
schizophrenia are mentioned with a clear reference to the
growing field of psychoneuroimmunology. This paper will not
address the issue of neurologic or psychiatric manifestations
of rheumatic diseases.

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