类风湿关节炎、系统性红斑狼疮、原发性Sjögren综合征和相关免疫概况的外周和中枢神经系统受累的系统综述

A. Bougea, E. Anagnostou, G. Konstantinos, Paraskevas George, N. Triantafyllou, E. Kararizou
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引用次数: 26

摘要

中枢(CNS)和周围神经系统(PNS)并发症在结缔组织疾病中是常见和多样的。1989年至2014年间,在Medline、Scopus和Cochrane Library数据库中使用搜索词、外周和中枢神经并发症和免疫学概况进行了一项系统综述,以确定特定结缔组织疾病(如类风湿关节炎、系统性红斑狼疮和原发性Sjögren综合征)的研究。共识别675篇参考文献,其中118篇被选中进行详细分析,22篇被纳入最终评审,共计2338名参与者。我们的研究只关注结缔组织疾病的研究,如类风湿关节炎、系统性红斑狼疮和原发性Sjögren综合征与血清免疫数据相关。在报告的研究中,报道的中枢神经系统受累的患病率从9%到92%不等。然而,CNS和PNS表现与血清免疫学特征之间的关系仍然存在争议。Τo到目前为止,没有实验室检查显示中枢神经系统和PNS受累的病理特征。
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A Systematic Review of Peripheral and Central Nervous System Involvement of Rheumatoid Arthritis, Systemic Lupus Erythematosus, Primary Sjögren's Syndrome, and Associated Immunological Profiles
Both central (CNS) and peripheral nervous system (PNS) complications are frequent and varied in connective tissue diseases. A systematic review was conducted between 1989 and 2014 in the databases Medline, Scopus, and Cochrane Library using the search terms, peripheral and central nervous complications and immunological profiles, to identify studies in specific connective tissue disorders such as rheumatoid arthritis, systemic lupus erythematosus, and primary Sjögren's syndrome. A total of 675 references were identified, of which 118 were selected for detailed analysis and 22 were included in the final review with a total of 2338 participants. Our search focused only on studies upon connective tissue disorders such as rheumatoid arthritis, systemic lupus erythematosus, and primary Sjögren's syndrome associated with seroimmunological data. The reported prevalence of CNS involvement ranges from 9 to 92% across the reported studies. However, the association between CNS and PNS manifestations and seroimmunological profiles remains controversial. Τo date, no laboratory test has been shown as pathognomonic neither for CNS nor for PNS involvement.
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