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小儿神经精神性狼疮的临床特点与预后评估

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摘要 目的分析小儿神经精神性狼疮(NPSLE)患者临床特点并评估疗效。方法观察14例NPSLE患者症状、体征、实验室、辅助检查,治疗情况、SLEDAI评分,并进行分析归纳。结果 8例患儿首诊时伴有神经系统症状。确诊NPSLE时合并有狼疮性肾炎的患儿病情重,SLEDAI评分高。经过半年的系统治疗,NPSLE患儿的SLEDAI评分能从33.57±2.57降至3.5±1.07。结论 NPSLE是活动性系统性红斑狼疮的表现之一。NPSLE表现复杂多样。NPSLE的患儿应进行系统治疗并密切监测免疫指标和SLEDAI评分。
出处 《广东医学》 CAS CSCD 北大核心 2013年第15期2383-2385,共3页 Guangdong Medical Journal
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参考文献14

  • 1MOSES N, WIGGERS J, NICHOLAS C, et al. Prevalence and correlates of perceived unmet needs of people with systemic lupus erythematosus[ J]. Patient Educ Couns,2005,57 ( 1 ) :30 - 38. 被引量:1
  • 2KLEIN GITELMAN M, REIFF A, SILVERMAN E D. Systemic lupus erythematosus in childhood[ J]. Rheum Dis Clin North Am, 2002,28(3) : 561 -577. 被引量:1
  • 3MCCUNE W J, GOLBUS J. Neuropsychiatric lupus [ J]. Rheum Dis Clin North Am, 1988, 14(1) : 149 -167. 被引量:1
  • 4系统性红斑狼疮诊治指南(草案)[J].中华风湿病学杂志,2003,7(8):508-513. 被引量:215
  • 5DEGIORGIO L A, KONSTANTINOV K N, LEE S C, et al. Asubset of lupus anti - DNA antibodies cross - reacts with the NR2glutamate receptor in systemic lupus erythematosus [ J ]. Nat Med, 2001, 7(11) : 1189 -1193. 被引量:1
  • 6BOMBARDIER C, GLADMAN D D, UROWITZ M B, et al. De- viation of the SLEDAh a disease activity index of lupus patients: the committee on prognosis studies in SLE [ J ]. Arthritis Rheum, 1992, 35(6) : 630 -640. 被引量:1
  • 7LEHMAN T J. A practical guide to systemic lupus erythematosus [J]. Pediatr Clin North Am, 1995, 42(5) : 1223 -1238. 被引量:1
  • 8HIRAKI L T, BENSELER S M, TYRRELL P N, et al. Clinical and laboratory characteristics and long - term outcome of pediatric systemic lupus erytbematosus: a longitudinal study[J]. J Pediatr, 2008, 152(4) : 550 -556. 被引量:1
  • 9HAJI MUHAMMAD ISMAIL HUSSAIN I, LOH W F, SOFIAH A. Childhood cerebral lupus in an Oriental population [ J ]. Brain Dev, 1999, 21(4) : 229 -235. 被引量:1
  • 10郝胜,何威逊,吴滢.儿童狼疮性脑病临床特征[J].临床儿科杂志,2007,25(9):749-751. 被引量:10

二级参考文献33

  • 1王新德.全身疾病的神经系统表现[M].北京:人民军医出版社,2001.155-156. 被引量:3
  • 2Cervera R, Khamashta MA, Font J, et al. Morbidity and mortality in SLE during a 10-year period: a comparison of early and late manifestations in a cohort of 1000 patients. Medicine (Baltimore),2003, 82: 299-308. 被引量:1
  • 3Ainiala H, Loukkola J, Peltola J, et al. The prevalence of neuropsychiatric syndromes in systemic lupus erythematosus. Neurology, 2001, 57: 496-500. 被引量:1
  • 4Carreno L, Lopez-Longo FJ, Monteagudo I, et al. Immunological and clinical differences between juvenile and adult onset of systemic lupus erythematosus. Lupus, 1999, 8: 287-292. 被引量:1
  • 5Font J, Cervera R, Ramos-Casals M, et al. Clusters of clinical and immunologic features in systemic lupus erythematosus:analysis of 600 patients from a single center. Semin Arthritis Rheum,2004, 33: 217-230. 被引量:1
  • 6Karassa FB, Ioannidis JP, Touloumi G, et al. Risk factors for central nervous system involvement in systemic lupus erythematosus. Q J Med, 2000, 93: 169-174. 被引量:1
  • 7Tomita M, Khan RL, Blehm BH, et al. The potenOal pathogenetic link between peripheral immune activation and the central innate immune response in neuropsychiatric systemic lupus erythematosus. Med Hypotheses, 2004, 62: 325-335. 被引量:1
  • 8Janwityanuchit S, Verasertniyom O, Vanichapuntu M, et al. Anti-Sm:its predictive value in systemic lupus erythematosus. Clin Rheumatol, 1993, 12: 350-353. 被引量:1
  • 9Reichlin M. Ribosomal P antibodies and CNS lupus. Lupus,2003, 12: 916-918. 被引量:1
  • 10Afeltra A, Garzia P, Mitterhofer AP, et al. Neuropsychiatric lupus syndromes: relationship with antiphospholipid antibody. Neurology, 2003, 61: 108-110. 被引量:1

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