中枢神经系统的初级血管炎和ANCA相关的血管炎:从病理到治疗
Alaa Sherri1, Mohamad Mahdi Mortada2, Joanna Makowska3
1Department of Rheumatology, Medical University of Lodz, Łódź, Poland. alaa.sherri@stud.umed.lodz.pl.
Rheumatology international
|September 30, 2023
概括
中枢神经系统的原发性血管炎 (PACNS) 和与ANCA相关的血管炎 (AAV) 具有共同的神经症状,诊断挑战和治疗方案. 区分这些中枢神经系统的血管类型往往需要进行大脑活检.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
背景情况:
- 中枢神经系统 (CNS) 血管炎呈现为局部原发性血管炎 (PACNS) 或全身ANCA相关血管炎 (AAV).
- 无论是PACNS还是AAV,都经常表现为重叠的神经症状,使诊断复杂化.
研究的目的:
- 综合比较涉及中枢神经系统的PACNS和AAV的病变发生,临床表现,诊断工作和治疗.
- 突出相似之处和差异,以指导临床管理和未来的研究.
主要方法:
- 使用PubMed和Ovid (Embase,Medline) 数据库进行了一项文献综述.
- 根据预先定义的纳入和排除标准,对参考资料进行了选和选择.
主要成果:
- PACNS和AAV表现出类似的临床表现,包括头痛,焦点神经缺陷和认知障碍.
- 实验室和放射学发现可能相似,这强调了诊断的挑战.
- 大脑活检仍然是区分PACNS和AAV的黄金标准.
- 这两种情况的治疗方案在很大程度上是相同的.
结论:
- 中枢神经系统参与PACNS和AAV在呈现,诊断和治疗方面具有显著的相似之处.
- 需要进一步的研究来开发更实用的诊断方案来区分这些条件.
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