Matsukawa Yoshihiro
Division of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine.
Nihon Rinsho. 2009 Mar;67(3):531-5.
Patients with SLE show in a variety of neuropsychiatric symptoms, although we could not use standardized methods for evaluating and making diagnosis of the syndromes. ACR felt to develop objective and valuable tools for the diagnosis and classification of neuropsychiatric lupus, therefore, they proposed a new tentative set of nomenclatures describing neuropsychiatric lupus syndromes in accordance with 4th edition of Diagnostic and Statistical Manual of Mental Disorders provided by American Psychiatric Association. For this purpose, The Ad Hoc Committee collected and evaluated 108 case presentations of neuropsychiatric lupus from USA, Canada, and UK. Re-evaluation of the tentative nomenclatures selected 19 neuropsychiatric syndrome to facilitate and enhance clinical research. They grouped into peripheral and central nervous system lupus, and central nervous system lupus was divided into neurologic syndromes and diffuse psychiatric/ neuropsychological syndromes. Instead of organic brain syndrome, a term of acute confusional state was introduced.
系统性红斑狼疮（SLE）患者会出现各种神经精神症状，尽管我们无法使用标准化方法来评估和诊断这些综合征。美国风湿病学会（ACR）认为需要开发客观且有价值的工具来诊断和分类神经精神性狼疮，因此，他们根据美国精神病学协会提供的《精神疾病诊断与统计手册》第4版，提出了一套新的描述神经精神性狼疮综合征的暂定命名法。为此，特设委员会收集并评估了来自美国、加拿大和英国的108例神经精神性狼疮病例报告。对暂定命名法进行重新评估后，选择了19种神经精神综合征，以促进和加强临床研究。它们被分为外周和中枢神经系统狼疮，中枢神经系统狼疮又分为神经综合征和弥漫性精神/神经心理综合征。引入了“急性意识模糊状态”这一术语，取代了“器质性脑综合征”。
