以神经精神障碍表现的老年人系统性红斑狼疮

• 作 者: 黄翠瑶 杨汉勤 庞宣文 唐雪萍
• 机 构: 中国人民解放军军医进修学院保健办公室,中国人民解放军军医进修学院保健办公室,中国人民解放军军医进修学院保健办公室,中国人民解放军军医进修学院保健办公室,
• 出 处: 中国人民解放军军医进修学院学报
• 发表日期: 1986年04期
• 关键词: 系统性红斑狼疮 神经精神障碍 神经精神症状 精神障碍者 面部蝶形红斑 狼疮细胞 抗核抗体阳性 临床资料 关节痛 神志恍惚

近年来国内外报告,系统性红斑狼疮(SLE)神经精神障碍者有所增加,尤其60岁以上老年患者,以神经系统损害为主要或首发症状者,临床上易被忽视而误诊。兹报告4例如下。临床资料年龄为60～75岁,男女各2例,从出现神经精神症状至死亡病程为3～16个月,其中在6个月内死亡者为3例。 4例中有2例以精神异常和发热为首发症状,男2例分别于临床确诊为SLE5和6年

In recent years, domestic and foreign reports, SLE neuropsychiatric disorders have increased, especially in patients over the age of 60 elderly patients with nervous system damage as the main or first symptom, clinically easily overlooked and misdiagnosed. Here are 4 cases below. Clinical data of 60 to 75 years old, male and female in 2 cases, from neuropsychiatric symptoms to death course of 3 to 16 months, of which 6 died within 6 months were 3 cases. In 4 cases, 2 patients had mental disorder and fever as the first symptom, and 2 males were clinically diagnosed as SLE5 and 6 years respectively