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[神经系统器质性疾病患者银屑病的病程特点]

[Features of the course of psoriasis in patients with organic diseases of the nervous system].

作者信息

Fedorova M L, Fedorov S M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(11):1494-9.

PMID:516964
Abstract

Of 190 patients suffering from psoriasis in 65 (34.2%) hypothalamic syndrome, sequelae of neuroinfections and craniocerebral injuries, acute and chronic insufficiency of cerebral circulation were noted. These diseases preceded the development of psoriasis in 22.6% of the patients, the fact, that gives one grounds to regard them with a greater probability as a pathogenetic factor of psoriasis. In the patients suffering from psoriasis and the above diseases of the nervous system an inclinication to exudative and pustulous manifestations, arthropathy, and erythroderma, as well as frequent resistance to the therapy and torpid course of the disease were observed. An exacerbation of psoriasis aggravated some neurological disorders, and a deterioration of the neurological state coincided in time in some patients with exacerbation of psoriasis. The interaction between the dermal and the neurological disturbances appeared to be a reason for supplementing the complex of measures for psoriasis treatment with means improving the metabolic processes in the brain, psychotropic and vasocative drugs, and diadynamic currents that produce normalizing effects on the vegetative functions and cerebral hemodynamics.

摘要

在190例银屑病患者中,发现65例(34.2%)存在下丘脑综合征、神经感染后遗症和颅脑损伤、急慢性脑循环不全。这些疾病在22.6%的患者中先于银屑病出现,这一事实使人们更有可能将它们视为银屑病的致病因素。在患有银屑病以及上述神经系统疾病的患者中,观察到有倾向于出现渗出性和脓疱性表现、关节病和红皮病,以及对治疗频繁耐药和病程迁延不愈的情况。银屑病的加重会使一些神经功能障碍加剧,在一些患者中,神经状态的恶化与银屑病的加重在时间上相吻合。皮肤和神经功能障碍之间的相互作用似乎是在用改善大脑代谢过程的手段、精神药物和血管活性药物以及对植物神经功能和脑血流动力学产生正常化作用的间动电流来补充银屑病治疗综合措施的一个原因。

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