Mateos-Colino A, Gonzalez-Gay M A, Cereijo M J, Santiago J, Rabuñal R, Brañas F
Servicio de Medicina Interna, Hospital Xeral de Lugo.
An Med Interna. 1995 Dec;12(12):600-2.
Four patients diagnosed with Behçet's disease developing neurologic manifestation are described. Central nervous system findings were observed in three of them and peripheral neuropathy in ther other patient. All the patients were treated with chlorambucil, 0.1-0.2 mg/kg/day as initial dose. Three of them ended the immunosuppressive therapy after a period of treatment between 12-18 months. None of the four patients suffered neurologic relapses once that the therapy with chlorambucil was started. In a similar way to other authors, we think that treatment with chlorambucil in neuro-Behçet's disease may be useful to reduce morbility related to neurologic relapses.
本文描述了4例诊断为白塞病并出现神经表现的患者。其中3例有中枢神经系统表现,另1例有周围神经病变。所有患者均以苯丁酸氮芥作为初始剂量,按0.1 - 0.2mg/kg/天进行治疗。其中3例在治疗12 - 18个月后结束免疫抑制治疗。4例患者自开始使用苯丁酸氮芥治疗后均未出现神经复发。与其他作者的观点类似,我们认为苯丁酸氮芥治疗神经白塞病可能有助于降低与神经复发相关的发病率。