哈西莫托脑病的临床和诊断特征:一个单中心的回顾性研究
Jung-Ju Lee1, Soo-Min Park1, Kyung-Il Park2
1Department of Neurology, Nowon Eulji Medical Center, Eulji University School of Medicine, 68 Hangeulbisekro, Noweongu, Seoul, 01830, Korea.
Acta neurologica Belgica
|June 11, 2024
概括
哈西莫托脑病变 (HE) 经常被诊断不足,但对类固醇有很好的反应. 早期诊断和治疗,包括免疫抑制药物,对于患有无法解释的神经症状的患者获得更好的结果至关重要.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 内分泌学 在内分泌学.
背景情况:
- 诊断哈西莫托脑病变 (HE) 存在诊断方面的挑战.
- HE对类固醇疗法表现出良好的反应,使其与其他自身免疫性脑膜蛋白区别开来.
研究的目的:
- 为了确定抗甲状腺抗体 (ATA) 和可能的HE在无法解释的精神功能障碍患者的患病率.
- 为了在可能的HE中比较具有良好和差异的患者之间的临床特征.
主要方法:
- 医疗记录,EEG和神经成像的回顾性审查,对198名患有心智变化,认知衰退或肌细胞结合症的患者进行了回顾.
- 对于可能的HE. 提出的诊断标准的应用.
- 结果组之间的临床特征和ATA阳性率的比较.
主要成果:
- 在29.1%的受试者中检测到ATA阳性,在25.6%的受试者中检测到可能的HE.
- 在22名可能的HE患者中,有19名患者有良好的结果 (90.5%的免疫抑制剂).
- 六名患者呈现了抗药不耐药的非状态.
结论:
- 哈西莫托脑病,虽然很少见,但可能比以前认为的更常见.
- 类固醇被推作为第一线治疗怀疑的HE.
- 及时诊断和适当的治疗对于在高等教育中取得有利结果至关重要.
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