尤含笑, 李梦涛, 张奉春, 曾小峰, 胡朝军. 神经精神性狼疮相关抗体及其诊断价值[J]. 协和医学杂志, 2020, 11(3): 264-269. DOI: 10.3969/j.issn.1674-9081.20200043
引用本文: 尤含笑, 李梦涛, 张奉春, 曾小峰, 胡朝军. 神经精神性狼疮相关抗体及其诊断价值[J]. 协和医学杂志, 2020, 11(3): 264-269. DOI: 10.3969/j.issn.1674-9081.20200043
Han-xiao YOU, Meng-tao LI, Feng-chun ZHANG, Xiao-feng ZENG, Chao-jun HU. Autoantibodies Involved in Neuropsychiatric Systemic Lupus Erythematosus and Its Diagnostic Value[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 264-269. DOI: 10.3969/j.issn.1674-9081.20200043
Citation: Han-xiao YOU, Meng-tao LI, Feng-chun ZHANG, Xiao-feng ZENG, Chao-jun HU. Autoantibodies Involved in Neuropsychiatric Systemic Lupus Erythematosus and Its Diagnostic Value[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 264-269. DOI: 10.3969/j.issn.1674-9081.20200043

神经精神性狼疮相关抗体及其诊断价值

Autoantibodies Involved in Neuropsychiatric Systemic Lupus Erythematosus and Its Diagnostic Value

  • 摘要: 神经精神性狼疮(neuropsychiatric systemic lupus erythematosus, NPSLE)是系统性红斑狼疮(systemic lupus erythematosus, SLE)病变累及神经系统而产生神经和/或精神症状的一组预后差、死亡率高的严重并发症, SLE患者血清或脑脊液中检测到的独特的自身抗体与神经精神疾病相关。在SLE患者中, NPSLE的患病率从17%至75%不等。本文论述国内外最新研究结果, 着重探讨抗核糖体P抗体、抗磷脂抗体、抗神经元抗体等相关抗体在中枢神经受累的NPSLE中的研究现状及其临床价值。

     

    Abstract: Neuropsychiatric systemic lupus erythematosus (NPSLE) is a group of severe complications with a poor prognosis and high mortality caused by systemic lupus erythematosus (SLE). Its lesions involve the nervous system and cause neurological and/or psychiatric symptoms. Unique autoantibodies detected in the serum or cerebrospinal fluid of patients with NPSLE are associated with the presence of neuropsychiatric disorders. The prevalence of NPSLE ranges from 17% to 75% in SLE. This article reviewed the latest progress and focused on the current state of knowledge and the potential clinical value of anti-ribosomal P antibody, antiphospholipid antibody, anti-neuronal antibody, and other related antibodies in NPSLE with central nervous involvement.

     

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