Omdal R, Husby G, Mellgren S I, Kløw N E
Revmatologisk avdeling, Regionsykehuset i Tromsø.
Tidsskr Nor Laegeforen. 1990 Aug 30;110(20):2649-51.
Systemic lupus erythematosus is a disease characterized by multiple autoimmune phenomena, and a broad clinical spectrum. Involvement of the central nervous system is common, and in the majority of patients occurs mainly as an organic brain syndrome or as migraineous headache. Cerebral atrophy as judged by CT scan is common. Cerebral infarction occurs in a minority of patients, mainly those with high disease activity and a high titer of anti-phospholipid antibodies. Systemic lupus erythematosus should be considered as a possible diagnosis in patients with certain central nervous system aberrations, especially young females.
系统性红斑狼疮是一种以多种自身免疫现象为特征且临床谱广泛的疾病。中枢神经系统受累很常见,在大多数患者中主要表现为器质性脑综合征或偏头痛性头痛。通过CT扫描判断,脑萎缩很常见。少数患者会发生脑梗死,主要是那些疾病活动度高且抗磷脂抗体滴度高的患者。对于有某些中枢神经系统异常的患者,尤其是年轻女性,应考虑系统性红斑狼疮作为一种可能的诊断。