3 Evaluation of patients with CNS involvement in SLE

MD, MRCPI, FRCPC John G. Hanly (Professor of Medicine, Head, Director, Clinical Associate)
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引用次数: 27

Abstract

Patients with systemic lupus erythematosus (SLE) may present with a wide array of neuropsychiatric (NP) clinical features. This may either be a primary manifestation of SLE, the result of a complication of the disease or its therapy, or a concurrent disease process. As there is no single diagnostic gold standard for NP-SLE, the assessment of individual patients is heavily dependent upon clinical evaluation in addition to information from studies of autoantibodies, brain structure and function. Despite their lack of diagnostic sensitivity and specificity, these tests frequently provide information that can be used to support or refute the clinical impression. They may also provide a basis for the prospective evaluation of the efficacy of therapeutic interventions in individual patients with NP-SLE.

3 SLE患者中枢神经系统受累的评价
系统性红斑狼疮(SLE)患者可能表现出广泛的神经精神(NP)临床特征。这可能是SLE的主要表现,也可能是该疾病或其治疗的并发症的结果,也可能是并发的疾病过程。由于NP-SLE没有单一的诊断金标准,对个体患者的评估在很大程度上依赖于临床评估以及来自自身抗体、大脑结构和功能研究的信息。尽管缺乏诊断敏感性和特异性,但这些测试经常提供可用于支持或反驳临床印象的信息。它们也可能为前瞻性评价NP-SLE个体患者治疗干预的疗效提供基础。
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