Ueno Ken-ichi, Matsushima Akira, Hineno Akiyo, Fukushima Kazuhiro, Tazawa Ko-ichi, Matsuda Masayuki, Ikeda Shu-ichi
Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine , Matsumoto , Japan.
Mod Rheumatol. 2014 May;24(3):525-8. doi: 10.3109/14397595.2013.852849. Epub 2014 Feb 7.
We report a patient with polyarteritis nodosa (PN) who showed frequent episodes of acute-onset central nervous system (CNS) involvement mimicking relapsing-remitting multiple sclerosis (MS) for 22 years. Long-term use of oral prednisolone successfully avoided recurrence of neurological symptoms. PN can sometimes affect the CNS, and is an important item in the differential diagnosis of neurological manifestations with lesion dissemination in time and space, as seen in MS.
我们报告了一名结节性多动脉炎（PN）患者，该患者在22年的时间里频繁出现急性起病的中枢神经系统（CNS）受累症状，酷似复发缓解型多发性硬化症（MS）。长期口服泼尼松龙成功避免了神经症状的复发。PN有时可累及CNS，并且是在时间和空间上有病灶播散的神经表现（如MS所见）的鉴别诊断中的一个重要项目。
