Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Curr Neurol Neurosci Rep. 2024 Nov 22;25(1):4. doi: 10.1007/s11910-024-01397-0.
This review seeks to examine the prevalence, pathophysiology, diagnostic challenges, and treatment strategies for movement disorders in patients with systemic lupus erythematosus (SLE).
In recent years, the spectrum and number of autoimmune movement disorders has rapidly expanded with the identification of neuronal and paraneoplastic antibodies which should be considered in the differential for patients with acute to subacute development of a movement disorder. The identification of SLE in a patient with a new onset movement disorder may lead to earlier treatment with immune therapies especially if other systemic manifestations are present. Current treatment for SLE-associated movement disorders involves co-management with rheumatology and is based on expert clinical opinion on symptomatic management. Further understanding of the contributing pathophysiology may lead to advancements in therapeutic approaches.
本文旨在探讨系统性红斑狼疮(SLE)患者运动障碍的患病率、病理生理学、诊断挑战和治疗策略。
近年来,随着神经元和副肿瘤抗体的鉴定,自身免疫性运动障碍的范围和数量迅速扩大,对于急性至亚急性运动障碍发展的患者,应考虑这些抗体在鉴别诊断中的作用。在新发运动障碍的患者中发现 SLE 可能会导致更早地进行免疫治疗,特别是如果存在其他全身表现。目前,SLE 相关运动障碍的治疗涉及与风湿病学的共同管理,并基于对症状管理的专家临床意见。对发病机制的进一步了解可能会推动治疗方法的进步。