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目的:探讨干燥综合征累及中枢神经病变的临床表现及诊断、鉴别诊断、治疗。方法:报告中国人民解放军第175医院1例累及中枢神经病变的干燥综合征患者的临床资料并复习相关文献,对其临床表现、诊断、容易混淆的鉴别诊断及治疗进行分析。结果:1例累及中枢神经病变的干燥综合征患者经治疗病情好转出院。结论:累及中枢神经病变的干燥综合征,尤其以中枢神经系统症状为首发表现者,极易误诊为多发性硬化,遇可疑病例应及时完善检查,避免因忽视其它系统症状而导致漏诊和误诊,影响患者的预后。
Objective: To investigate the clinical manifestations and diagnosis, differential diagnosis and treatment of Sjogren’s syndrome involving central nervous system diseases. Methods: The clinical data of one case of Sjogren’s syndrome involving central nervous system in 175th Hospital of People’s Liberation Army and the related literature were reviewed, and their clinical manifestations, diagnosis, easily confused differential diagnosis and treatment were analyzed. Results: One case of Sjogren’s syndrome involving central nervous system patients was discharged after treatment. Conclusion: Sjogren ’s syndrome involving central nervous system diseases, especially in the first manifestation of central nervous system symptoms, is easily misdiagnosed as multiple sclerosis. Cases of suspected cases should be promptly improved to avoid misdiagnosis and misdiagnosis caused by neglect of other systemic symptoms, Affect the patient’s prognosis.