Wada T, Yokoyama H, Ikeda K, Tomosugi N, Kobayashi K
First Department of Internal Medicine, School of Medicine, Kanazawa University, Japan.
Ann Rheum Dis. 1992 Apr;51(4):547-9. doi: 10.1136/ard.51.4.547.
A 63 year old man with central nervous system lupus with a neurogenic bladder and visual disturbance is described. The diagnosis of neurogenic bladder, attributed to peripheral neuropathy, was made on the basis of cystometrography and clinical symptoms. A brain magnetic resonance imaging scan showed gliosis along the cerebral vessels and the optic nerve. This case shows that systemic lupus erythematosus can be accompanied by a peripheral neurogenic bladder and visual disturbance, and that these symptoms may not improve despite the amelioration of other lupus symptoms on treatment with steroids.
本文描述了一名63岁患有中枢神经系统狼疮的男性，伴有神经源性膀胱和视觉障碍。神经源性膀胱的诊断归因于周围神经病变，是基于膀胱压力容积测定法和临床症状做出的。脑部磁共振成像扫描显示脑血管和视神经周围有胶质增生。该病例表明，系统性红斑狼疮可伴有周围神经源性膀胱和视觉障碍，并且尽管使用类固醇治疗后其他狼疮症状有所改善，但这些症状可能不会改善。
