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系统性红斑狼疮的神经学表现

The neurologic manifestations of systemic lupus erythematosus.

作者信息

Greenberg Benjamin M

机构信息

Johns Hopkins School of Medicine, Baltimore, Maryland 21287, USA.

出版信息

Neurologist. 2009 May;15(3):115-21. doi: 10.1097/NRL.0b013e31818ff9aa.

Abstract

BACKGROUND

Often patients with systemic lupus erythematosus (SLE) suffer from neurologic symptoms and at times the diagnosis of SLE is made after patients present with neurologic events. Although diagnostic criteria for SLE have included seizures and psychosis, there are 19 recognized neurologic manifestations of the disease.

REVIEW SUMMARY

The various neurologic manifestations of SLE are reviewed as are the various treatment options. The pathophysiology of the major syndromes is reviewed.

CONCLUSION

Neurologists need to be familiar with the various ways SLE can present and the various neurologic complications known lupus patients can experience. Because of the various treatment options available, rapid recognition of these syndromes is critical.

摘要

背景

系统性红斑狼疮(SLE)患者常伴有神经症状,有时在患者出现神经事件后才作出SLE的诊断。虽然SLE的诊断标准已包括癫痫发作和精神病,但该疾病有19种公认的神经表现。

综述总结

对SLE的各种神经表现以及各种治疗选择进行了综述。对主要综合征的病理生理学进行了综述。

结论

神经科医生需要熟悉SLE可能出现的各种方式以及已知狼疮患者可能经历的各种神经并发症。由于有多种可用的治疗选择,快速识别这些综合征至关重要。

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