Askari A, Saadeh A, Buheis N I
Medical School, Jordan University of Science and Technology, Irbid, Jordan.
Rheumatol Int. 1999;18(5-6):215-7. doi: 10.1007/s002960050087.
Primary vasculitides can affect the central nervous system but the psychiatric manifestations are not well described. The hallmark of the disorder is an acute necrotizing inflammation of the vessel media with fibrinoid necrosis. We report a case of a 31-year-old man who had been treated for schizophrenia but was found to have vasculitides of the microscopic polyangiitis type and who improved on therapy with corticosteroids and immunosuppressive drugs. We would like to draw attention to this rare but important manifestation of vasculitis, and to the importance of its recognition.
原发性血管炎可累及中枢神经系统，但精神症状表现的描述并不充分。该疾病的标志是血管中膜的急性坏死性炎症伴纤维素样坏死。我们报告一例31岁男性病例，该患者曾接受精神分裂症治疗，但被发现患有显微镜下多血管炎类型的血管炎，经皮质类固醇和免疫抑制药物治疗后病情好转。我们希望引起对这种罕见但重要的血管炎表现及其识别重要性的关注。
