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与系统性红斑狼疮相关的肿胀性脱髓鞘病变

Tumefactive demyelination associated with systemic lupus erythematosus.

作者信息

Verma Rajesh, Arya Kamal

机构信息

Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, UP, India.

出版信息

BMJ Case Rep. 2012 May 11;2012:bcr0220125743. doi: 10.1136/bcr.02.2012.5743.

Abstract

Systemic lupus erythematosus (SLE) is a chronic inflammatory multi-system disease characterised by varied clinical manifestation and immunological abnormalities. The clinical presentation of the disorder has wide spectra, from an asymptomatic presentation to a severe life-threatening disease affecting several organs. The sole manifestation of lupus erythematosus could be neurological syndrome, where diagnosis of SLE is difficult to establish. The authors intended to report a young female, who initially developed left-sided hemiparesis due to tumefactive demyelination, later on diagnosed as case of SLE. The association of tumefactive demyelination and SLE has not been previously reported in the literature.

摘要

系统性红斑狼疮(SLE)是一种慢性炎症性多系统疾病,其特征为临床表现多样和免疫异常。该疾病的临床表现范围广泛,从无症状表现到影响多个器官的严重危及生命的疾病。红斑狼疮的唯一表现可能是神经综合征,在这种情况下很难确诊SLE。作者打算报告一名年轻女性,她最初因肿胀性脱髓鞘而出现左侧偏瘫,后来被诊断为SLE病例。肿胀性脱髓鞘与SLE的关联此前在文献中尚未见报道。

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本文引用的文献

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Limbic encephalitis associated with systemic lupus erythematosus.狼疮性脑病合并系统性红斑狼疮。
Lupus. 2009 Dec;18(14):1316-9. doi: 10.1177/0961203309106829. Epub 2009 Oct 22.

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