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干燥综合征的神经和精神临床表现

Neurological and Psychiatric Clinical Manifestations of Sjögren Syndrome.

作者信息

Popescu Alexandra, Hickernell John, Paulson Anisha, Aouhab Zineb

机构信息

Department of Rheumatology, Loyola University Medical Center, 2160 S. First Avenue, Maywood, Il, 60153, USA.

出版信息

Curr Neurol Neurosci Rep. 2024 Aug;24(8):293-301. doi: 10.1007/s11910-024-01352-z. Epub 2024 Jul 10.

Abstract

PURPOSE OF REVIEW

Sjögren Syndrome is a systemic autoimmune disorder that presents mainly with sicca symptoms, but frequently affects other body systems which can lead to a wide variety of manifestations. Understanding the neurological and psychiatric manifestations of Sjögren Syndrome can help with an earlier diagnosis of this disease and leads to better clinical outcomes.

RECENT FINDINGS

We provide an updated overview of the central neurological manifestations, peripheral neurological manifestations and psychiatric manifestations and their diagnosis when associated with primary Sjögren Syndrome. The epidemiology and clinical features of the neurological and psychiatric manifestations are derived from different cohort studies and review articles that were selected from PubMed searches conducted between January 2024 and March 2024. The absence of diagnostic criteria and the scarcity of large, robust studies makes the recognition of the neurological and psychiatric manifestations of Sjögren Syndrome more difficult. Maintaining a high index of suspicion in clinical practice and a close collaboration between the Neurologist and the Rheumatologist will facilitate the diagnosis and management of these patients.

摘要

综述目的

干燥综合征是一种全身性自身免疫性疾病,主要表现为干燥症状,但常累及身体其他系统,可导致多种临床表现。了解干燥综合征的神经和精神表现有助于早期诊断该疾病,并带来更好的临床结果。

最新发现

我们提供了与原发性干燥综合征相关的中枢神经表现、周围神经表现和精神表现及其诊断的最新概述。神经和精神表现的流行病学及临床特征源自2024年1月至2024年3月在PubMed数据库检索中筛选出的不同队列研究及综述文章。缺乏诊断标准以及大型、可靠研究的稀缺使得识别干燥综合征的神经和精神表现更加困难。在临床实践中保持高度的怀疑指数以及神经科医生和风湿科医生之间的密切合作将有助于这些患者的诊断和管理。

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