Imaging features of cerebral small vessel disease in systemic lupus erythematosus patients with impaired renal function and its associated risk factors
10.3760/cma.j.issn.1005-1201.2018.08.002
- VernacularTitle: 伴有肾功能受损的系统性红斑狼疮患者脑小血管病影像学特征及其相关危险因素分析
- Author:
Yubing YE
1
;
Song LUO
;
Longjiang ZHANG
;
Zhen CHENG
;
Yan ZHOU
;
Gang ZHENG
;
Qiaoli XU
;
Jiankang ZHANG
;
Zongjun ZHANG
Author Information
1. Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing General Hospital, Nanjing 210002, China
- Publication Type:Journal Article
- Keywords:
Lupus erythematosus, systemic;
Cerebral small vessel disease;
Glomerular filtration rate;
White matter lesions
- From:
Chinese Journal of Radiology
2018;52(8):575-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the imaging features of cerebral small vessel disease(SVD) in systemic lupus erythematosus(SLE) patients with impaired renal function and their related risk factors.
Methods:Seventy-six SLE patients and forty age- and sex-matched healthy controls were recruited, and SLE patients were divided into the impaired renal function group [estimated glomerular filtration rate (eGFR) <90 ml/(min·1.73 m2)] (n=38) and the normal renal function group [eGFR≥90 ml/(min·1.73 m2)] (n=38) according to their eGFR. All subjects underwent brain MRI, cognitive and psychiatric testing. The SVD scores were measured, total white matter hyperintensity (WMH) and SVD scores were calculated, and the risk factors of SVD scores were analyzed by using ordinal logistic regression.
Results:SLE patients in the impaired renal function group showed higher basal ganglia PVS, centrum semiovale perivascular space (PVS), periventricular WMH, deep WMH and total SVD scores compared with normal controls or patients with normal renal function (H=44.568, 31.380, 31.172, 43.419, 24.317, P<0.001) . The ordinal logistic regression analysis showed that C-reactive protein was a risk factor for SVD in patients with SLE(OR=1.323, P<0.01).
Conclusion:SLE patients with impaired renal function had a higher SVD burden on MR imaging, particularly PVS in the basal ganglia and deep WMH, which was affected by the C-reactive protein level.
