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慢性炎症性脱髓鞘性多发性神经根神经病(CIDP)不同临床表型的病理生理学。

Pathophysiology of the Different Clinical Phenotypes of Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP).

机构信息

Department of Neurology, Wroclaw Medical University, Borowska 213 Str., 50-556 Wroclaw, Poland.

Faculty of Architecture, Wroclaw University of Science and Technology, 50-317 Wroclaw, Poland.

出版信息

Int J Mol Sci. 2021 Dec 24;23(1):179. doi: 10.3390/ijms23010179.

Abstract

Chronic inflammatory demyelinating polyneuropathy (CIDP) is the most common form of autoimmune polyneuropathy. It is a chronic disease and may be monophasic, progressive or recurrent with exacerbations and incomplete remissions, causing accumulating disability. In recent years, there has been rapid progress in understanding the background of CIDP, which allowed us to distinguish specific phenotypes of this disease. This in turn allowed us to better understand the mechanism of response or non-response to various forms of therapy. On the basis of a review of the relevant literature, the authors present the current state of knowledge concerning the pathophysiology of the different clinical phenotypes of CIDP as well as ongoing research in this field, with reference to key points of immune-mediated processes involved in the background of CIDP.

摘要

慢性炎症性脱髓鞘性多发性神经病(CIDP)是最常见的自身免疫性多发性神经病。它是一种慢性疾病,可能是单相的,进行性的或复发性的,伴有恶化和不完全缓解,导致累积残疾。近年来,对 CIDP 背景的理解取得了快速进展,这使我们能够区分这种疾病的特定表型。这反过来又使我们能够更好地了解对各种形式治疗的反应或无反应的机制。基于对相关文献的回顾,作者介绍了 CIDP 不同临床表型的病理生理学的最新知识,以及该领域正在进行的研究,参考了 CIDP 背景下涉及的免疫介导过程的关键点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5866/8745770/22d45327c12a/ijms-23-00179-g001.jpg

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