在 Behçet 综合征患者中,神经系统参与的模仿者
Elif Dincses Nas1,2, E Buse Caliskan3, Z Ece Kaya Gulec4
1School of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Journal of neurology
|September 4, 2024
概括
许多贝赫塞特综合征 (BS) 患者被转诊神经病学,有其他神经系统疾病,而不是典型的神经贝赫塞特综合征 (NeuroBS). 仔细诊断至关重要,以避免错误识别这些非NeuroBS疾病.
科学领域:
- 神经学 神经学
- 类风湿病学 类风湿病学
- 内部医学 内部医学
背景情况:
- 贝切特综合征 (BS) 是一种多系统性炎症性疾病.
- 神经干扰 (NeuroBS) 是BS的一个严重并发症.
- 将NeuroBS与其他神经疾病区分开来,对于适当的管理至关重要.
研究的目的:
- 为了识别模仿BS患者神经系统参与的非神经系统疾病.
- 确定有助于差异诊断的临床,实验室和成像发现.
主要方法:
- 500名连续BS患者的回顾性图表审查.
- 识别被转诊到神经病学的患者.
- 对诊断,症状和测试结果的分析.
主要成果:
- 23%的BS患者被转诊为神经病学.
- 5.8%的患者患有典型的神经神经系统血栓塞 (脑膜或大脑静脉鼻血栓塞).
- 6%的人患有其他神经系统疾病 (例如,主要头痛,精神疾病).
结论:
- 非NeuroBS的神经疾病在BS患者中很常见.
- 对其他神经系统疾病的BS患者的错误诊断令人担忧.
- 临床警是必要的,以区分NeuroBS和其他神经学模仿者.
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