Influence of Psychological Stress on Headache in Patients with Systemic Lupus Erythematosus

Vargas‐Hitos, José Antonio; Sabio, José Mario; Martínez-Egea, I.; Jiménez-Jáimez, Enrique; Rodríguez-Guzmán, Manuel; Navarrete‐Navarrete, Nuria; López-Lozano, Esther; Romero‐Alegría, Ángela; Calle, C. de la; Jáimez-Gámiz, Laura; Baños-Piñero, Pilar; Nebrera-Navarro, Fernando; Fidalgo, Alba; Caminal, L.; Garrido, Enrique de Ramón; Ortego-Centeno, Norbérto; Expósito, Manuela; Zamora-Pasadas, Mónica; Jiménez-Alonso, J

doi:10.3899/jrheum.130535

Cited by 3 publications

(11 citation statements)

References 23 publications

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“…22 Since this systematic review, nine studies have assessed headache in patients with SLE using control groups. [27][28][29][30][31][32][33][34][35] These studies are summarized in Table 1. Among those that reported data regarding all headaches, only two reported a higher prevalence of this symptom in patients with SLE compared to the control group.…”

Section: Primary Headachesmentioning

confidence: 99%

“…[36][37][38] Moreover, these patients experience a greater impact generated by headache compared to people without SLE. 7,35 The prevalence of migraine in patients with SLE ranged from 25% to 66.1%. [29][30][31] The association between migraine and SLE is controversial.…”

Section: Primary Headachesmentioning

confidence: 99%

“…34 The presence of a primary headache does not seem to be associated with the activity of SLE, as demonstrated by most studies. 27,29,33,35,38,39 One prospective study monitored patients with SLE for 12 months using a headache diary and observed that the worsening of headache did not coincide with periods of disease activity. 34 In a study that assessed migraine in SLE patients, 29% of patients reported that headaches were worse during SLE flares; however, this was not confirmed with the use of a diary.…”

Section: Primary Headachesmentioning

confidence: 99%

“…29 Nevertheless, most of the controlled studies reported no association between headache or migraine and the presence of aPL. 27,31,[33][34][35][36]38,40,42 Furthermore, the association of headache or migraine with Raynaud's phenomenon was reported by some authors, [28][29][30] although most of the studies reported no such association. 27,31,[34][35][36]38,39 There are no clinical trials that assessed the acute or preventive treatment of primary headaches in patients with SLE.…”

Section: Primary Headachesmentioning

confidence: 99%

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Headache and systemic lupus erythematosus: A narrative review

Oliveira

Rocha-Filho

2023

Headache

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Objective To review the epidemiology, the differential diagnosis, and the clinical and laboratory factors associated with the care management of headaches in patients with systemic lupus erythematosus (SLE). Background SLE is a chronic autoimmune disease and in 12%–95% of patients, the nervous system is involved. Headache is a frequently reported, although nonspecific, symptom that may potentially represent serious underlying diagnoses. Primary headaches may also occur in these patients, thereby causing a negative and significant impact on their quality of life. Methods This is a narrative review. A literature review was conducted on the PubMed platform using the following terms: (1) headache and (2) lupus. All articles considered relevant were included. No limitations were imposed for the publication date. Results Headache is a frequent symptom in patients with SLE. Although its prevalence is similar to the general population, headaches nonetheless tend to have a greater negative impact on these patients. Patients with SLE are more likely to experience headache due to vascular diseases such as cerebral venous sinus thrombosis, stroke, reversible cerebral vasoconstriction syndrome, posterior reversible encephalopathy syndrome, and vasculitis. Aseptic meningitis, neuroinfections, intracranial neoplasms, and intracranial hypertension or hypotension may also be a cause of headache in these patients. Although used in disease activity scores, the concept of lupus headache is controversial. Conclusions Headache is a frequent symptom in patients with SLE. An appropriate approach enables the potentially serious conditions, which are the causes of secondary headaches, to be recognized and treated, together with an appropriate diagnosis and treatment of primary headaches.

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Section: Primary Headachesmentioning

confidence: 99%

Section: Primary Headachesmentioning

confidence: 99%

Section: Primary Headachesmentioning

confidence: 99%

Section: Primary Headachesmentioning

confidence: 99%

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Headache and systemic lupus erythematosus: A narrative review

Oliveira

Rocha-Filho

2023

Headache

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“…"Fibromyalgia syndrome" is a biopsychosocial continuum disorder. [43][44][45][46][47][48][49][50][51][52][53][54] Pathophysiology of upper gastrointestinal (GI) symptoms still is poorly understood. Psychological symptoms were found to be more common in patients with functional GI complaints.…”

Section: Disorganized Diseases Multimorbidity and Polymedication And Frequent Attenders: A Networkmentioning

confidence: 99%

Disorganized Diseases: Are they a Simple Explosion of Random Energy and therefore Meaningless? A Cases Series Study in Family Medicine

Turabián¹

2018

J Community Prev Med

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Objective:The study has two objectives: (1) To determine the prevailing characteristics of a given set of patients with "disorganized disease" and (2) to determinate the prevailing outcomes for these patients in family medicine to assess their implications for decision-making. Participants and Methods: A qualitative, longitudinal, and retrospective cases series study based on a single cohort was carried out. Analyses based on a retrospective study of case records from June to

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