Continuum (Minneap Minn). 2024 Aug 1;30(4):1136-1159. doi: 10.1212/CON.0000000000001461.
This article reviews autoimmune neuromuscular disorders and includes an overview of the diagnostic approach, especially the role of antibody testing in a variety of neuropathies and some other neuromuscular disorders.
In the past few decades, multiple antibody biomarkers associated with immune-mediated neuromuscular disorders have been reported. These biomarkers are not only useful for better understanding of disease pathogenesis and allowing more timely diagnosis but may also aid in the selection of an optimal treatment strategy.
Recognition of autoimmune neuromuscular conditions encountered in inpatient or outpatient neurologic practice is very important because many of these disorders are reversible with prompt diagnosis and early treatment. Antibodies are often helpful in making this diagnosis. However, the clinical phenotype and electrodiagnostic testing should be taken into account when ordering antibody tests or panels and interpreting the subsequent results. Similar to other laboratory investigations, understanding the potential utility and limitations of antibody testing in each clinical setting is critical for practicing neurologists.
本文综述了自身免疫性神经肌肉疾病,并介绍了诊断方法概述,特别是抗体检测在各种神经病变和其他一些神经肌肉疾病中的作用。
在过去几十年中,已经报道了多种与免疫介导的神经肌肉疾病相关的抗体生物标志物。这些生物标志物不仅有助于更好地了解疾病发病机制并允许更及时地诊断,而且还可能有助于选择最佳的治疗策略。
在住院或门诊神经科实践中识别自身免疫性神经肌肉疾病非常重要,因为许多此类疾病如果能够迅速诊断和早期治疗是可以逆转的。抗体检测通常有助于做出这一诊断。然而,在进行抗体检测或检测组以及解释随后的结果时,应考虑临床表型和电诊断测试。与其他实验室检查一样,了解抗体检测在每种临床环境中的潜在用途和局限性对于神经内科医生来说至关重要。