与IgG4相关的疾病的神经参与:专注于神经眼科特征
Doruk Arslan1,2, Ayse Ilksen Colpak1, Gozde Kubra Yardimci3
1Department of Neurology, School of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey.
Journal of neurology
|November 26, 2025
概括
与IgG4相关的疾病 (IgG4-RD) 的神经参与比想象中更常见,特别是神经眼科疾病. 早期诊断和治疗IgG4-RD神经症状可以改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 眼科医生 眼科 眼科
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种全身性纤维炎症疾病.
- 从历史上看,对IgG4-RD的神经系统的参与被认为是罕见的,而且人们对其了解甚少.
研究的目的:
- 调查IgG4-RD中神经症状的患病率和特征.
- 突出神经眼科疾病作为IgG4-RD的关键表型.
主要方法:
- 77名成年IgG4-RD患者 (2014-2023) 的回顾性分析.
- 对临床,实验室,成像,组织病理学和治疗数据的审查.
- 对神经症状和发现进行集中评估.
主要成果:
- 神经性干扰发生在22%的患者中,主要是神经眼科疾病 (10/17).
- 常见的神经眼科症状包括头痛,,双眼视,往往被错误诊断.
- 治疗反应各不相同,一些患者需要除葡萄糖皮质类药物之外的rituximab.
结论:
- 在IgG4-RD中神经学的参与可能未被充分认识到.
- 头痛,proptosis和双眼的三位一体需要考虑IgG4-RD.
- 及时诊断和免疫抑制疗法对于管理IgG4-RD神经并发症至关重要.
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