Neuropsychiatric involvement in systemic lupus erythematosus.

被引:25
作者
Hermosillo-Romo D. [1 ]
Brey R.L. [1 ]
机构
[1] Mail Stop #7883, University of Texas Health Science Center at San Antonio, Division of Neurology, 7703 Floyd Curl Drive, San Antonio, 79220-3900, TX
关键词
Systemic Lupus Erythematosus; DHEA; Systemic Lupus Erythematosus Disease Activity; Systemic Lupus Erythe; Temic Lupus Erythematosus;
D O I
10.1007/s11926-002-0043-8
中图分类号
学科分类号
摘要
The correct diagnosis of central and peripheral nervous system manifestations in patients with systemic lupus erythematosus (SLE) can be challenging because of many SLE-related and non-SLE-related processes that can be present in a patient. The American College of Rheumatology (ACR) has published case definitions for 19 neuropsychiatric SLE (NPSLE) syndromes, with careful attention to important exclusion criteria. These criteria were developed for research purposes but can be helpful to clinicians with a patient who has nervous system dysfunction. This report reviews the data regarding the application of the ACR NPSLE criteria and the influence of ethnicity and disease duration on the development of NPSLE syndromes. Cognitive dysfunction and psychiatric disorders are the two most common manifestations. The work-up and treatment of nervous system syndromes are also discussed.
引用
收藏
页码:337 / 344
页数:7
相关论文
共 152 条
  • [1] De Marcaida JA(1999)The American College of Rheumatology nomenclature and case definitions for neuropsychiatric lupus syndrome Arthritis Rheum 42 599-608
  • [2] Reik L(1999)Central nervous system infections: disorders that mimic central nervous system infections Neurol Clin 17 901-915
  • [3] Sibbitt WL(1999)Neuroimaging in neuropsychiatric systemic lupus erythematosus Arthritis Rheum 42 2026-2038
  • [4] Sibbitt RR(2001)Prevalence of neuropsychiatric syndromes in patients with systemic lupus erythematosus Lupus 10 S35-S35
  • [5] Brooks WM(2002)Neuropsychiatric syndromes in lupus: prevalence using standardized definitions Neurology 58 1214-1220
  • [6] Sanna G(2001)The American College of Rheumatology nomenclature and case definitions for neuropsychiatric lupus syndromes: analysis of 527 patients Lupus 10 S32-S32
  • [7] Cuadrado MJ(2001)The prevalence of neuropsychiatric syndromes in systemic lupus erythematosus Neurology 57 496-500
  • [8] Bertolaccini ML(2000)Risk factors for central nervous system involvement in systemic lupus erythematosus Q J Med 93 169-174
  • [9] Brey R(2000)Predictors of clinical outcome and radiologic progression in patients with neuropsychiatric manifestations of systemic lupus erythematosus Am J Med 109 628-634
  • [10] Holliday S(2001)Validity of the new American College of Rheumatology criteria for neuropsychiatric lupus syndromes: a population-based evaluation Arthritis Care Res 45 419-423