Neuropsychiatric systemic lupus erythematosus (1st part). Cases definitions and diagnosis and treatment of central nervous system and psychiatric manifestations of systemic lupus erythematosus
Systemic lupus erythematosus (SLE) is an autoimmune disease, which primarily affects skin and joints. Peripheral neurologic syndrome and central nervous system (CNS) manifestations are common in lupus patients but are not always attributable to lupus itself. A classification, published in 1999 by th...
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| Veröffentlicht in: | La revue de medecine interne 2012-09, Vol.33 (9), p.491-502 |
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| creator | Lefèvre, G Zéphir, H Warembourg, F Michelin, E Pruvo, J-P Hachulla, E Semah, F Dubucquoi, S Lenfant, P Vermersch, P Hatron, P-Y Prin, L Launay, D |
| description | Systemic lupus erythematosus (SLE) is an autoimmune disease, which primarily affects skin and joints. Peripheral neurologic syndrome and central nervous system (CNS) manifestations are common in lupus patients but are not always attributable to lupus itself. A classification, published in 1999 by the American College of Rheumatology (ACR) research committee, described 12 CNS syndromes and seven peripheral neurologic syndromes compatible with "neuropsychiatric systemic lupus erythematosus" (NPSLE). Despite this consensus, studies which have been published since 1999 have reported a prevalence of NPSLE varying from 20 to 97 %, which shows the diagnosis difficulty and the heterogeneity of neuropsychiatric manifestations in SLE. In order to understand the limits of this classification, we propose in this first part an exhaustive review of publications describing neuropsychiatric manifestations according to the ACR 1999 classification. We also detail case definitions, prevalence and risk factors, clinical characteristics and diagnosis of each lupus-related psychiatric and CNS manifestation. |
| doi_str_mv | 10.1016/j.revmed.2012.03.356 |
| format | Article |
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Cases definitions and diagnosis and treatment of central nervous system and psychiatric manifestations of systemic lupus erythematosus</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Lefèvre, G ; Zéphir, H ; Warembourg, F ; Michelin, E ; Pruvo, J-P ; Hachulla, E ; Semah, F ; Dubucquoi, S ; Lenfant, P ; Vermersch, P ; Hatron, P-Y ; Prin, L ; Launay, D</creator><creatorcontrib>Lefèvre, G ; Zéphir, H ; Warembourg, F ; Michelin, E ; Pruvo, J-P ; Hachulla, E ; Semah, F ; Dubucquoi, S ; Lenfant, P ; Vermersch, P ; Hatron, P-Y ; Prin, L ; Launay, D</creatorcontrib><description>Systemic lupus erythematosus (SLE) is an autoimmune disease, which primarily affects skin and joints. Peripheral neurologic syndrome and central nervous system (CNS) manifestations are common in lupus patients but are not always attributable to lupus itself. A classification, published in 1999 by the American College of Rheumatology (ACR) research committee, described 12 CNS syndromes and seven peripheral neurologic syndromes compatible with "neuropsychiatric systemic lupus erythematosus" (NPSLE). Despite this consensus, studies which have been published since 1999 have reported a prevalence of NPSLE varying from 20 to 97 %, which shows the diagnosis difficulty and the heterogeneity of neuropsychiatric manifestations in SLE. In order to understand the limits of this classification, we propose in this first part an exhaustive review of publications describing neuropsychiatric manifestations according to the ACR 1999 classification. 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Despite this consensus, studies which have been published since 1999 have reported a prevalence of NPSLE varying from 20 to 97 %, which shows the diagnosis difficulty and the heterogeneity of neuropsychiatric manifestations in SLE. In order to understand the limits of this classification, we propose in this first part an exhaustive review of publications describing neuropsychiatric manifestations according to the ACR 1999 classification. We also detail case definitions, prevalence and risk factors, clinical characteristics and diagnosis of each lupus-related psychiatric and CNS manifestation.</abstract><cop>France</cop><pmid>22579860</pmid><doi>10.1016/j.revmed.2012.03.356</doi><tpages>12</tpages></addata></record> |
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| subjects | Anxiety Disorders - diagnosis Anxiety Disorders - epidemiology Anxiety Disorders - etiology Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cognition Disorders - etiology Diagnosis, Differential Epilepsy - diagnosis Epilepsy - epidemiology Epilepsy - etiology Humans Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - diagnosis Lupus Erythematosus, Systemic - epidemiology Lupus Erythematosus, Systemic - therapy Lupus Vasculitis, Central Nervous System - diagnosis Lupus Vasculitis, Central Nervous System - epidemiology Lupus Vasculitis, Central Nervous System - etiology Lupus Vasculitis, Central Nervous System - therapy Neuropsychological Tests Prevalence |
| title | Neuropsychiatric systemic lupus erythematosus (1st part). Cases definitions and diagnosis and treatment of central nervous system and psychiatric manifestations of systemic lupus erythematosus |
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