Analysis of clinical characteristics and risk factors in patients with neuropsychiatric systemic lupus erythematosus (NPSLE).
- Author:
Jie LIU
1
;
Shuyuan JIA
1
;
Pengyu WANG
1
;
Tingting LYU
1
;
Yinxiu HU
1
;
Yan ZHANG
2
Author Information
1. Department of Rheumatology, Second Affiliated Hospital of Air Force Medical University, Xi'an 710038, China.
2. Department of Rheumatology, Second Affiliated Hospital of Air Force Medical University, Xi'an 710038, China.*Corresponding author, E-mail: zyhphc@fmmu.edu.cn.
- Publication Type:Journal Article
- MeSH:
Humans;
Lupus Vasculitis, Central Nervous System;
Risk Factors;
Headache;
Antibodies, Antinuclear;
Cognitive Dysfunction
- From:
Chinese Journal of Cellular and Molecular Immunology
2023;39(10):924-927
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze clinical characteristics of patients with neuropsychiatric systemic lupus erythematosus (NPSLE) and to explore the risk factors affecting the occurrence of NPSLE. Methods A total of 63 NPSLE patients and 61 non-NPSLE patients were enrolled. The clinical manifestations and laboratory examination data of the two groups were collected, and the disease characteristics of NPSLE were summarized to analyze the risk factors affecting the occurrence of NPSLE by multivariate Logistic regression. Results The most common clinical manifestations of NPSLE patients were headache (39.7%), affective disorder (33.3%) and cognitive impairment (30.2%), with cranial magnetic resonance abnormalities (63.5%) and a high cerebrospinal fluid protein positive rate (52.4%). Compared with non-NPSLE patients, there were significantly increased levels of Raynaud's phenomenon, renal involvement, anti-RNP antibody, anti-ribosomal P protein, hypocomplementemia, lymphocyte-to-monocyte ratio (LMR) and neutrophil-to-lymphocyte ratio (NLR) in NPSLE patients. Multivariate Logistic regression analysis showed that renal involvement, Raynaud's phenomenon, positive anti-ribosomal P protein antibody, and elevated LMR and NLR were independent risk factors for NPSLE. Conclusion Headache is the most common symptom in patients with NPSLE, and abnormal cranial MRI and cerebrospinal fluid examination are more common. SLE patients who present with renal involvement, Raynaud's phenomenon, positive anti-ribosomal P protein antibodies, and elevated levels of LMR and NLR are more susceptible to developing NPSLE.
