ACR classification criteria for systemic lupus erythematosus: limitations and revisions to neuropsychiatric variables

ACR classification criteria for systemic lupus erythematosus: limitations and revisions to neuropsychiatric variables
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DOI:
10.1191/0961203304lu2024oa
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发表时间:
2004-01-01
期刊:
影响因子:
2.6
通讯作者:
Hanly, JG
Hanly, JG
中科院分区:
医学4区
文献类型:
--
作者:
Hanly, JG

文献摘要

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系统性红斑狼疮(SLE)的神经系统(N)和精神病(P)表现都超出了当前美国风湿病学院(ACR)分类标准SLE的标准。已经尝试了一些尝试对NP-SLE表现的分类。最新的是19 NP狼疮综合征的ACR命名法和案例定义,目前为SLE患者的NP事件分类提供了标准化方法的最佳方法。来自许多研究的数据表明,19 NP综合征的患病率很大。根据这些发现,并利用案例定义中提供的指南诊断和排除混杂变量,建议检查许多NP表现形式,以纳入SLE的修订分类和诊断标准。
There are a wide variety of neurologic (N) and psychiatric (P) manifestations of systemic lupus erythematosus (SLE) which extend beyond those identified in the current American College of Rheumatology (ACR) classification criteria for SLE. Several attempts have been made to devise a classification of NP-SLE manifestations. The most recent is the ACR nomenclature and case definitions for 19 NP lupus syndromes which currently provides the best means of a standardized approach to categorize NP events in SLE patients. Data from a number of studies has indicated a wide variability in the prevalence of the 19 NP syndromes. On the basis of these findings and utilizing the guidelines provided in the case definitions for diagnosis and exclusion of confounding variables, it is proposed to examine a number of NP manifestations for possible inclusion in revised classification and diagnostic criteria for SLE.