一例系统性红斑狼疮患者的躁狂症:其炎症发病机制能否应用于原发性情绪障碍?

David R Spiegel, Lindsay Holtz, Kokil Chopra
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引用次数: 0

摘要

系统性红斑狼疮是一种由自身免疫性疾病引起的慢性炎症。系统性红斑狼疮被描述为在大约14%到80%的系统性红斑狼疮患者中诱发神经精神症状,包括躁狂和精神病。我们提出并讨论鉴别诊断的病人狂躁和系统性红斑狼疮正在治疗免疫抑制剂,也有葡萄糖-6-磷酸脱氢酶缺乏症的历史。最后,我们回顾了躁狂的潜在发病机制,由于炎症介导的病因学,以及如何使用这可能部分解释原发性情绪障碍的发病机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of Mania in a Patient with Systemic Lupus Erythematosus: Can Its Inflammatory Pathogenesis be Applied to Primary Mood Disorders?

Systemic lupus erythematosus is a chronic inflammatory condition caused by an autoimmune disease. Systemic lupus erythematosus has been described as inducing neuropsychiatric symptoms, including mania and psychosis, in approximately 14 to 80 percent of systemic lupus erythematosus patients. We present and discuss the differential diagnoses in a patient with mania and systemic lupus erythematosus being treated with immunosuppresants and also with a history of glucose-6-phosphate dehydrogenase deficiency. Finally, we review the potential pathogenesis of mania due to an inflammatory-mediated etiology and how this may be used to partly explain the pathogenesis of primary mood disorders.

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