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系统性红斑狼疮中风的发病机制、预防策略、管理方案、药物治疗及研究技术解析

Deciphering Mechanisms, Prevention Strategies, Management Plans, Medications, and Research Techniques for Strokes in Systemic Lupus Erythematosus.

作者信息

Al-Ewaidat Ola A, Naffaa Moawiah M

机构信息

Department of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL 60202, USA.

Department of Cell Biology, Duke University School of Medicine, Durham, NC 27710, USA.

出版信息

Medicines (Basel). 2024 Jul 31;11(7):15. doi: 10.3390/medicines11070015.

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune rheumatic condition characterized by an unpredictable course and a wide spectrum of manifestations varying in severity. Individuals with SLE are at an increased risk of cerebrovascular events, particularly strokes. These strokes manifest with a diverse range of symptoms that cannot be solely attributed to conventional risk factors, underscoring their significance among the atypical risk factors in the context of SLE. This complexity complicates the identification of optimal management plans and the selection of medication combinations for individual patients. This susceptibility is further complicated by the nuances of neuropsychiatric SLE, which reveals a diverse array of neurological symptoms, particularly those associated with ischemic and hemorrhagic strokes. Given the broad range of clinical presentations and associated risks linking strokes to SLE, ongoing research and comprehensive care strategies are essential. These efforts are critical for improving patient outcomes by optimizing management strategies and discovering new medications. This review aims to elucidate the pathological connection between SLE and strokes by examining neurological manifestations, risk factors, mechanisms, prediction and prevention strategies, management plans, and available research tools and animal models. It seeks to explore this medical correlation and discover new medication options that can be tailored to individual SLE patients at risk of stroke.

摘要

系统性红斑狼疮(SLE)是一种自身免疫性风湿性疾病,其病程不可预测,临床表现广泛,严重程度各异。SLE患者发生脑血管事件尤其是中风的风险增加。这些中风表现出各种各样的症状,不能完全归因于传统危险因素,这突出了它们在SLE背景下作为非典型危险因素的重要性。这种复杂性使得为个体患者确定最佳管理方案和选择药物组合变得复杂。神经精神性SLE的细微差别进一步加剧了这种易感性,神经精神性SLE表现出各种各样的神经症状,尤其是那些与缺血性和出血性中风相关的症状。鉴于中风与SLE相关的临床表现广泛且风险多样,持续的研究和全面的护理策略至关重要。这些努力对于通过优化管理策略和发现新药物来改善患者预后至关重要。本综述旨在通过研究神经表现、危险因素、机制、预测和预防策略、管理方案以及可用的研究工具和动物模型,阐明SLE与中风之间的病理联系。它旨在探索这种医学关联,并发现可以针对有中风风险的个体SLE患者量身定制的新药物选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa9f/11348055/ec9a31cd32a3/medicines-11-00015-g001.jpg

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