ABNORMALITIES OF MAGNETIC-RESONANCE-IMAGING OF THE CENTRAL-NERVOUS-SYSTEM IN PATIENTS WITH SYSTEMIC LUPUS-ERYTHEMATOSUS CORRELATE WITH DISEASE SEVERITY

被引:20
作者
CAULI, A [1 ]
MONTALDO, C [1 ]
PELTZ, MT [1 ]
NURCHIS, P [1 ]
SANNA, G [1 ]
GARAU, P [1 ]
PALA, R [1 ]
PASSIU, G [1 ]
MATHIEU, A [1 ]
机构
[1] UNIV CAGLIARI,DEPT CLIN MED,I-09100 CAGLIARI,ITALY
关键词
SYSTEMIC LUPUS ERYTHEMATOSUS; MAGNETIC RESONANCE IMAGING; CENTRAL NERVOUS SYSTEM;
D O I
10.1007/BF02243004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Forty randomly selected patients with systemic lupus erythematosus (SLE) were studied by clinical and serologic parameters and magnetic resonance imaging (MRI). Abnormal MRI was found in 15/40 patients (37,5%): all 15 cases showed multiple widespread small-sized areas of increased signal in T2 in the white matter; in one of these patients MRI also displayed a large area with a reduced signal in T1 and an increased signal in T2 involving both the white and the gray matter. Among the 15 patients with abnormal MRI, only 7 had neuropsychiatric symptoms. The presence of MRI changes was highest in patients with organic type symptoms and was associated to the highest disease severity scores. A long-term follow up of asymptomatic patients would be useful to establish whether the application of MRI is appropriate for the assessment of CNS involvement in SLE.
引用
收藏
页码:615 / 618
页数:4
相关论文
共 18 条
[1]  
Wallace D.J., Dubois E.L., Clinical and laboratory manifestations of systemic lupus erythematosus, Dubois' Lupus Erythematosus, pp. 317-449, (1987)
[2]  
Grigor R., Edmonds J., Lewkonia R., Breshnian B., Hughes G.R.V., Systemic lupus erythematosus: a prospective analysis, Ann Rheum Dis, 37, pp. 121-128, (1978)
[3]  
Zvaifler N., Neurologic manifestations, The Clinical Management of Systemic Lupus Erythematosus, pp. 167-188, (1983)
[4]  
Feinglass E.J., Arnett F.C., Dorsch C.A., Zizic C.M., Stevens M.B., Neuropsychiatric manifestations of systemic lupus erythematosus: diagnosis, clinical spectrum, and relationship to other features of the disease, Medicine (Baltimore), 55, pp. 323-339, (1976)
[5]  
Carette S., Urowitz M.B., Grosman H., St. Louis H., Cranial computed tomography in systemic lupus erythematosus, J Rheum, 9, pp. 855-859, (1982)
[6]  
Vermess M., Bernstein R.M., Bydder G.M., Steiner R.E., Young I.R., Hughes G.R.V., Nuclear magnetic resonance (NMR) imaging of the brain in systemic lupus erythematosus, J Comput Assist Tomogr, 7, pp. 461-467, (1983)
[7]  
Aisen A.M., Gabrielsen T.O., McCune W.J., MR imaging of systemic lupus erythematosus involving the brain, AJNR, 6, pp. 197-201, (1985)
[8]  
Jacobs L., Kinkel P.R., Costello P.B., Alukal M.K., Kinkel W.R., Green F.A., Central nervous system lupus erythematosus: the value of magnetic resonance imaging, J Rheum, 15, pp. 601-605, (1988)
[9]  
McCune W.J., MacGuire A., Aisen A., Gebarski S., Identification of brain lesions in neuropsychiatric systemic lupus erythematosus by magnetic resonance scanning, Arthritis Rheum, 31, pp. 159-165, (1988)
[10]  
Tan E.M., Cohen A.S., Fries J.F., Et al., The 1982 revised criteria for the classification of systemic lupus erythematosus, Arthritis Rheum, 25, pp. 1271-1277, (1982)