Recovery of Activities of Daily Living 1 Year after Rehabilitation in a Patient with NPSLE Associated with Multiple Organ Failure
- VernacularTitle:ADL回復に1年間の入院リハビリテーション治療を要した多臓器不全合併NPSLEの1例
- Author:
Naomi KAWAI
1
;
Tameto NAOI
1
;
Toshie SEKINE
1
;
Takanori FUKUDA
1
;
Minoru OJIKA
1
;
Mitsuya MORITA
1
Author Information
- Keywords: neuropsychiatric SLE：NPSLE; critical illness; ICU-acquired weakness：ICU-AW; delirium
- From:The Japanese Journal of Rehabilitation Medicine 2025;62(7):735-743
- CountryJapan
- Language:Japanese
- Abstract: A 33-year-old female was admitted to the intensive care unit (ICU) due to respiratory failure. During her ICU stay, she developed multiple organ failure and neuropsychiatric symptoms, and was diagnosed with neuropsychiatric systemic lupus erythematosus (NPSLE). The patient faced difficulties in activities of daily living (ADL) recovery due to severe psychiatric symptoms and generalized muscle weakness; however, after one year of rehabilitation intervention, she achieved independence in ADL. NPSLE may occur more common in cases with high disease activity. Therefore, it is essential to consider the neuropsychiatric symptoms and implement rehabilitation interventions accordingly among critically ill patients with SLE. Additionally, as physical function improves following psychiatric symptom improved, rehabilitation intervention should aim for ADL recovery with disease activity and neuropsychiatric symptoms as indicators.
