Omdal R, Roos P, Wildhagen K, Gunnarsson R
Clinical Immunology Unit, Department of Internal Medicine, Rogaland Central Hospital, Stavanger, Norway.
Lupus. 2004;13(10):817-9. doi: 10.1191/0961203304lu1070cr.
Diaphragmatic weakness in patients with systemic lupus erythematosus (SLE) is a controversial issue and is claimed to have a neuropathic, myopathic or unknown pathogenesis. In this patient a predominantly motor neuropathy with diaphragmatic paralysis due to axonal involvement of the phrenic nerve was discovered and successfully treated with immunosuppressive drugs.
系统性红斑狼疮(SLE)患者的膈肌无力是一个有争议的问题,其发病机制被认为是神经性、肌病性或不明原因的。在该患者中,发现了一种主要由膈神经轴突受累导致膈肌麻痹的运动性神经病变,并通过免疫抑制药物成功治疗。