Department of Neurology-Faculty of Medical Science-State University of Campinas, Brazil.
Rheumatology Division-Department of Medicine--Faculty of Medical Science-State University of Campinas, Brazil; Autoimmunity Disease Laboratory-State University of Campinas, Brazil.
Autoimmun Rev. 2017 Apr;16(4):335-342. doi: 10.1016/j.autrev.2017.02.003. Epub 2017 Feb 12.
Systemic manifestations are frequent in autoimmune rheumatic diseases and include peripheral nervous system damage. Neuron cell body, axons and myelin sheath may all be affected in this context. This involvement results in severe and sometimes disabling symptoms. Sensory, motor and autonomic features may be present in different patterns that emerge as peculiar clinical pictures. Prompt recognition of these neuropathies is pivotal to guide treatment and reduce the risks of long term disability. In this review, we aim to describe the main immune-mediated neuropathies associated to rheumatic diseases: sensory neuronopathies, multiple mononeuropathies and chronic inflammatory demyelinating polyradiculoneuropathy, with an emphasis on clinical features and therapeutic options.
系统性表现常见于自身免疫性风湿病,包括外周神经系统损伤。在此情况下,神经元胞体、轴突和髓鞘都可能受到影响。这种累及会导致严重且有时致残的症状。感觉、运动和自主功能可能以不同的模式出现,形成特殊的临床图像。及时识别这些神经病变对于指导治疗和降低长期残疾风险至关重要。在这篇综述中,我们旨在描述与风湿病相关的主要免疫介导性神经病:感觉神经元病、多发性单神经病和慢性炎性脱髓鞘性多发神经根神经病,并重点介绍其临床特征和治疗选择。