Fukae Jiro, Noda Kazuyuki, Fujishima Kenji, Wada Ryo, Yoshiike Takashi, Hattori Nobutaka, Okuma Yasuyuki
Department of Neurology, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka 410-2295, Japan.
Clin Neurol Neurosurg. 2007 Dec;109(10):910-3. doi: 10.1016/j.clineuro.2007.07.025. Epub 2007 Sep 21.
Sweet's disease with central nervous system involvement, tentatively named neuro-Sweet's disease, has rarely been reported. Although systemic corticosteroid therapy is highly effective for neurologic symptoms in neuro-Sweet's disease, relapse is common. Here, we describe the case of a 38-year-old Japanese man who presented with relapsing neuro-Sweet's disease that was successfully treated with a combination of corticosteroid and dapsone. Dapsone should be considered as a therapeutic option for neuro-Sweet's disease patients showing relapse.
伴有中枢神经系统受累的Sweet病,暂称为神经Sweet病,鲜有报道。尽管全身糖皮质激素治疗对神经Sweet病的神经症状疗效显著,但复发很常见。在此,我们描述了一例38岁日本男性复发性神经Sweet病患者,该患者通过糖皮质激素和氨苯砜联合治疗获得成功。对于出现复发的神经Sweet病患者,应考虑将氨苯砜作为一种治疗选择。