Departments of Pediatrics and Neurology, Sections of Child Neurology and Neuroimmunology, University of Colorado School of Medicine, Aurora, CO, USA.
Division of Rheumatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Child Neuropsychol. 2024 Jul;30(5):818-846. doi: 10.1080/09297049.2023.2273573. Epub 2023 Oct 30.
Cognitive dysfunction (CD) is a neurologic complication of pediatric systemic lupus erythematosus (SLE) that remains poorly understood and understudied, despite the potential negative effects of CD on long-term socioeconomic status and quality of life. Data regarding the prevalence and risk factors for CD in pediatric SLE as well as the optimal screening, treatment, and long-term outcomes for CD are lacking. In this review, we present current knowledge on CD in pediatric SLE with a focus on the application to clinical practice. We discuss the challenges in diagnosis, clinical screening methods, potential impacts, and interventions for this complication. Finally, we discuss the remaining gaps in our knowledge of CD in pediatric SLE, and avenues for future research efforts.
认知功能障碍 (CD) 是儿科系统性红斑狼疮 (SLE) 的一种神经并发症,尽管 CD 可能对长期社会经济地位和生活质量产生负面影响,但人们对其仍了解甚少,研究也不足。关于儿科 SLE 中 CD 的患病率和危险因素,以及 CD 的最佳筛查、治疗和长期预后的数据均缺乏。在这篇综述中,我们介绍了儿科 SLE 中 CD 的现有知识,重点介绍了其在临床实践中的应用。我们讨论了诊断、临床筛查方法、潜在影响以及对这种并发症干预的挑战。最后,我们讨论了我们对儿科 SLE 中 CD 认识的不足之处以及未来研究工作的方向。