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A 53-year-old woman with a 20-year history of systemic lupus erythematosus (SLE) with antiphospholipid antibodies presented with psychotic episodes, progressive depression, insomnia, psychomotor slowing, gait disturbance and tremor of both hands. Neurological examination revealed rigidity of the upper extremities, ataxia, tetrahyperreflexia and bilateral …
Competing interests: None declared.
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