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抗磷脂抗体综合征(APS)的神经学和神经精神学表现

Neurological and Neuropsychiatric Manifestations of Antiphospholipid-Antibody Syndrome (APS).

作者信息

Asif Saba, Bali Anoushka, Dang Ashujot Kaur, Gonzalez Daniel A, Kumar Rajeswar

机构信息

Internal Medicine, Apollo Hospitals, Hyderabad, IND.

Research, Acharya Shri Chander College of Medical Sciences & Hospital, Jammu, IND.

出版信息

Cureus. 2022 Jun 16;14(6):e26022. doi: 10.7759/cureus.26022. eCollection 2022 Jun.

Abstract

Antiphospholipid antibody syndrome (APS) is an autoimmune disorder mediated by the presence of a group of autoantibodies, specifically the anticardiolipin antibody (aCL), the beta-2 glycoprotein I (2GPI), and the lupus anticoagulant (LA). Patients diagnosed with antiphospholipid antibody syndrome (APS) present with many symptoms, the most common being the consequence of thrombotic events that can be catastrophic and lead to mild to severe residual disabilities over a significant amount of time and can impair the quality of life. These events are often present in the younger population. Many times, these thrombotic events are heralded by a spectrum of psychiatric symptoms, which when worked up in the right direction may hint toward an oncoming thrombotic event and may potentially prevent those events by prompting primary prophylaxis treatment by the treating physician. In this review, we aim to comprehensively put forth the many neurological and neuropsychiatric manifestations of APS, their pathology, and management.

摘要

抗磷脂抗体综合征(APS)是一种由一组自身抗体介导的自身免疫性疾病,具体包括抗心磷脂抗体(aCL)、β2糖蛋白I(β2GPI)和狼疮抗凝物(LA)。被诊断为抗磷脂抗体综合征(APS)的患者会出现多种症状,最常见的是血栓形成事件的后果,这些事件可能是灾难性的,会在很长一段时间内导致轻度至重度的残留残疾,并可能损害生活质量。这些事件在年轻人群中较为常见。很多时候,这些血栓形成事件会先出现一系列精神症状,如果能朝着正确的方向进行检查,可能会提示即将发生的血栓形成事件,并可能通过促使治疗医生进行一级预防治疗来潜在地预防这些事件。在本综述中,我们旨在全面阐述APS的多种神经和神经精神表现、其病理及管理。

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