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العنوان
Neurological Manifestations in Patients with Systemic Sclerosis
المؤلف
Fahim,Rasha Nabil Thabet
هيئة الاعداد
باحث / Rasha Nabil Thabet Fahim
مشرف / Adel Mahmoud Ali
مشرف / Dahlia Abd El-Mohsen Hussein
مشرف / Reem Abd El-Monaam Habeeb
الموضوع
Diagnostic Methods for <br> Nervous System Affection in <br> Scleroderma Patients<br>-
تاريخ النشر
2009
عدد الصفحات
162.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2009
مكان الإجازة
جامعة عين شمس - كلية الطب - Internal Medicine
الفهرس
Only 14 pages are availabe for public view

from 162

from 162

Abstract

Systemic sclerosis (SSc) or scleroderma is characterized by fibrosis and vascular obliteration in the skin, gastrointestinal tract, lungs, heart and kidneys. The onset and course of the disease is heterogeneous, Scleroderma can be classified according to the extent of skin and visceral involvement as either a diffuse or limited form.
Neurological involvement in SSc is not as common as in systemic lupus erythematosus, but in recent studies it is demonstrated, however, that neurological involvement in SS is more frequent than what had been assumed. Also a high prevalence of depressive symptoms has been described in systemic sclerosis.
This study was carried out to study the neurological and neuropsychiatric manifestations in patients with systemic sclerosis and its correlation to disease activity and other organ involvement.
This study involved twenty patients with scleroderma. These patients were classified into 2 groups:
Group A: 16 patients with scleroderma had positive neurological findings in one or more investigation. These findings were in the form of 40 % with myopathy in EMG, 35% with carpel tunnel syndrome and 20% with sensory and motor neuropathy in NCV, and 35% with epileptiform activity in EEG.
Group B: 4 patients with scleroderma had no neurological findings.
This study revealed that neurological manifestations were found more with older patients, longer disease duration, and with more sever disease.
Also as regard laboratory investigation, patients with neurological findings had higher ESR, Total CPK.
Our study also revealed that neurological manifestations had increased frequency of all depression severity.