主要Sjögren综合征患者的神经参与:一个回顾性横截面研究
Hatice Ecem Konak1, Kevser Gök1, Berkan Armağan1
1Ankara Bilkent City Hospital, Rheumatology Clinic, Ankara, Turkey.
Annals of Indian Academy of Neurology
|November 16, 2023
概括
神经系统的参与影响了三分之一的症状主要的Sjögren综合征患者. 关节干扰是发展神经复杂症的关键预测因子,主要是Sjögren综合征.
科学领域:
- 类风湿病学 类风湿病学
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 主要Sjögren综合征 (pSS) 是一种全身性自身免疫性疾病,主要影响外分泌腺.
- 神经干预是已知的,但往往被低估的PSS并发症.
研究的目的:
- 为了确定患有初级Sjögren综合征的患者的神经干预的流行率和类型.
- 确定pSS中神经系统参与的临床和免疫学预测因素.
主要方法:
- 对2127名患有Sjögren综合征的患者进行了回顾性分析.
- 纳入标准:符合pSS分类标准,有记录的神经症状和客观评估.
- 具有和没有神经系统干扰的患者的比较,以及外周神经系统 (PNS) 和中枢神经系统 (CNS) 干扰的亚型.
主要成果:
- 在199名注册的pSS患者中,31.6%的人发现了神经参与.
- 脑后神经系统的参与发生在23.5%的患者中,中枢神经系统的参与发生在34.3%的患者中.
- 关节干扰是神经干扰的重要预测因素 (OR 10.01). 抗Ro/SS-A阳性与PNS和中枢神经系统参与有关.
结论:
- 显著比例的症状pSS患者表现出客观的神经参与.
- 对神经症状的临床警在pSS中至关重要,特别是在同时存在关节干扰的患者中.
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