Faurie P, Pérard L, Hot A, Desmurs-Clavel H, Fassier T, Boibieux A, Ninet J
Service de médecine interne, hôpital Édouard-Herriot, 69003 Lyon, France.
Rev Med Interne. 2010 Oct;31(10):e1-3. doi: 10.1016/j.revmed.2009.08.021. Epub 2010 Jun 11.
We report a 39-year-old woman with systemic lupus who presented with recurrent aseptic meningitis secondary to treatment with nonsteroidal anti-inflammatory drugs (NSAIDs). She presented two episodes following ibuprofen administration that were characterized by aseptic meningitis with high protein level in cerebrospinal fluid, and increased serum acute phase reactants. No evidence of an infection or vasculitis was documented. Clinical manifestation resolved rapidly with ibuprofen discontinuation, and corticosteroids therapy was unnecessary. Aseptic meningitis related to NSAIDs reported in lupus patients should be considered because of their specific modality of care and their favourable outcome.
我们报告了一名39岁的系统性红斑狼疮女性患者,她因使用非甾体抗炎药(NSAIDs)治疗而出现复发性无菌性脑膜炎。她在服用布洛芬后出现了两次发作,其特征为无菌性脑膜炎,脑脊液中蛋白质水平升高,血清急性期反应物增加。未记录到感染或血管炎的证据。停用布洛芬后临床表现迅速缓解,无需使用皮质类固醇治疗。由于狼疮患者中与NSAIDs相关的无菌性脑膜炎具有特定的治疗方式和良好的预后,因此应予以考虑。