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类风湿性关节炎是一种广泛性中胚叶疾患,据Sokoloff所述,本病原起是脉管炎,主要侵犯动脉毛细血管区和血管壁胶原纤维样坏死,这种坏死可以合并内膜增生并狭窄或毛细血管壁减弱。类风湿性关节炎合并大脑脉管炎文献中已有极少报告,据信,此种脉管炎与类固醇治疗有关。 作者报告1例,女性50岁,因Ⅲ度昏迷入院,左偏瘫及病理征阳性,患类风湿性关节
Rheumatoid arthritis is a generalized mesodermal disorder that, according to Sokoloff, is a vasculitis that predisposes to areas of arterial capillaries and to the vascular wall for collagen-like necrosis, which can be associated with intimal hyperplasia And stenosis or capillary wall weakened. There have been very few reports in rheumatoid arthritis combined with cerebral vasculitis, and it is believed that such vasculitis is associated with steroid therapy. The author reported 1 case, 50-year-old woman, admitted to hospital for coma Ⅲ degree, left hemiplegia and pathology positive, suffering from rheumatoid arthritis