原發性干燥綜合征周圍神經病變與干燥綜合征A型/B型抗體的關系研究_《華西醫學》

作者：

程佳 , 鄔銳

四川省醫學科學院·四川省人民醫院風濕免疫科（成都，610072）;

關鍵詞：

原發性干燥綜合征周圍神經病變干燥綜合征A型抗體干燥綜合征B型抗體

DOI：

10.7507/1002-0179.20130588

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目的　探討原發性干燥綜合征周圍神經病變的發生與干燥綜合征A型/B型抗體（抗SSA/SSB抗體）的關系。方法　納入2009年1月－2011年12月期間門診及住院收治的原發性干燥綜合征患者88例。所有患者均接受神經系統檢查，采用蛋白質印跡法檢測抗SSA抗體和抗SSB抗體，利用全自動化學發光儀檢測血清維生素B12水平。結果　88例原發性干燥綜合征患者中有27例（30.7%）存在周圍神經病變。有或無周圍神經病變的患者在年齡、性別、病程等一般情況方面無明顯不同。有周圍神經病變和無周圍神經病變的原發性干燥綜合征患者抗SSA抗體陽性率分別為70.4%（19/27）、70.5%（43/61），差異無統計學意義（χ2=0.000，P=0.991）；抗SSA/SSB抗體雙陽性率分別為63.0%（17/27）、14.8%（9/61），差異有統計學意義（χ2=17.416，P=0.000）；血清維生素B12水平分別為（390 ± 55）、（410 ± 86）pg/dL，差異無統計學意義（t=0.908，P=0.370）。結論　周圍神經病變在原發性干燥綜合征患者中較常見，且周圍神經病變的發生多伴隨血清抗SSA/SSB抗體陽性。

引用本文： 程佳,鄔銳. 原發性干燥綜合征周圍神經病變與干燥綜合征A型/B型抗體的關系研究. 華西醫學, 2013, 28(12): 1862-1864. doi: 10.7507/1002-0179.20130588 復制

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2.	Brito-Zerón P, Akasbi M, Bosch X, et al. Classification and characterisation of peripheral neuropathies in 102 patients with primary Sjögren’ s syndrome[J]. Clin Exp Rheumatol, 2012, 31(1): 103-110.
3.	Youinou P, Pers JO. Latest update on the primary Sjögren’s syndrome[J]. Presse Med, 2012, 41(9 Pt 2): e437-e439.
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10.	楊美蘭, 劉云, 張志, 等. 原發性干燥綜合征并神經系統損害22例臨床分析[J]. 海南醫學, 2008, 19(9): 113, 119.
11.	董怡, 趙巖, 郭曉萍. 原發性干燥綜合征診斷標準的初步研究[J]. 中華內科雜志, 1996, 35(2): 114-117.
12.	Gono T, Kawaguchi Y, Katsumata Y, et al. Clinical manifestations of neurological involvement in primary Sjögren’s syndrome[J]. Clin Rheumatol, 2011, 30(4): 485-490.
13.	Pavlakis PP, Alexopoulos H, Kosmidis ML, et al. Peripheral neuropathies in Sjögren syndrome: a new reappraisal[J]. J Neurol Neurosurg Psychiat, 2011, 82(7): 798-802.
14.	Chai J, Herrmann DN, Stanton M, et al. Painful small-fiber neuropathy in Sjogren syndrome[J]. Neurology, 2005, 65(6): 925-927.
15.	Dali-Youcef N, Andrès E. An update on cobalamin deficiency in adults[J]. QJM, 2009, 102(1): 17-28.
16.	Lorber M, Gershwin ME, Shoenfeld Y. The coexistence of systemic lupus erythematosus with other autoimmune diseases: the kaleidoscope of autoimmunity[J]. Semin Arthritis Rheum, 1994, 24(2): 105-113.

1. 　Yamashita H, Eri T, Ueda Y, et al. Diagnosis and treatment of primary Sjögren syndrome-associated peripheral neuropathy: a six-case series[J/OL]. Mod Rheumatol, 2012. http://link.springer.com/content/pdf/10.1007%2Fs10165-012-0767-x.pdf.
2. 　Brito-Zerón P, Akasbi M, Bosch X, et al. Classification and characterisation of peripheral neuropathies in 102 patients with primary Sjögren’ s syndrome[J]. Clin Exp Rheumatol, 2012, 31(1): 103-110.
3. 　Youinou P, Pers JO. Latest update on the primary Sjögren’s syndrome[J]. Presse Med, 2012, 41(9 Pt 2): e437-e439.
4. 　郝慧琴, 黃烽. 原發性干燥綜合征系統表現及其臨床治療進展[J]. 中華風濕病學雜志, 2006, 10(1): 49-52.
5. 　Tzioufas AG, Tatouli IP, Moutsopoulos HM. Autoantibodies in Sjögren’s syndrome: clinical presentation and regulatory mechanisms[J]. Presse Med, 2012, 41(9 Pt 2): e451-e460.
6. 　Tzioufas AG, Wassmuth R, Dafni UG, et al. Clinical, immunological, and immunogenetic aspects of autoantibody production against Ro/SSA, La/SSB and their linear epitopes in primary Sjögren’s syndrome (pSS): a European multicentre study[J]. Ann Rheum Dis, 2002, 61(5): 398-404.
7. 　Goëb V, Salle V, Duhaut P, et al. Clinical significance of autoantibodies recognizing Sjögren’s syndrome A(SSA), SSB, calpastatin and alpha-fodrin in primary Sjögren’s syndrome[J]. Clin Exp Immunol, 2007, 148(2): 281-287.
8. 　中華醫學會風濕病學分會. 干燥綜合征診治指南(草案)[J]. 中華風濕病學雜志, 2003, 7(7): 446-448.
9. 　Smoleńska Z, Paw?owska J, Zdrojewski Z, et al. Increased percentage of CD8+CD28- T cells correlates with clinical activity in primary Sjögren’s syndrome[J]. Cell Immunol, 2012, 278(1-2): 143-151.
10. 　楊美蘭, 劉云, 張志, 等. 原發性干燥綜合征并神經系統損害22例臨床分析[J]. 海南醫學, 2008, 19(9): 113, 119.
11. 　董怡, 趙巖, 郭曉萍. 原發性干燥綜合征診斷標準的初步研究[J]. 中華內科雜志, 1996, 35(2): 114-117.
12. 　Gono T, Kawaguchi Y, Katsumata Y, et al. Clinical manifestations of neurological involvement in primary Sjögren’s syndrome[J]. Clin Rheumatol, 2011, 30(4): 485-490.
13. 　Pavlakis PP, Alexopoulos H, Kosmidis ML, et al. Peripheral neuropathies in Sjögren syndrome: a new reappraisal[J]. J Neurol Neurosurg Psychiat, 2011, 82(7): 798-802.
14. 　Chai J, Herrmann DN, Stanton M, et al. Painful small-fiber neuropathy in Sjogren syndrome[J]. Neurology, 2005, 65(6): 925-927.
15. 　Dali-Youcef N, Andrès E. An update on cobalamin deficiency in adults[J]. QJM, 2009, 102(1): 17-28.
16. 　Lorber M, Gershwin ME, Shoenfeld Y. The coexistence of systemic lupus erythematosus with other autoimmune diseases: the kaleidoscope of autoimmunity[J]. Semin Arthritis Rheum, 1994, 24(2): 105-113.

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原發性干燥綜合征周圍神經病變與干燥綜合征A型/B型抗體的關系研究

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《華西醫學》

原發性干燥綜合征周圍神經病變與干燥綜合征A型/B型抗體的關系研究

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