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Diffusion tensor imaging in neuropsychiatric systemic lupus erythematosus.


ABSTRACT:

Background

Neuropsychiatric systemic lupus erythematosus (NPSLE) is associated with increased morbidity and mortality.

Methods

We used Diffusion Tensor Imaging (DTI) to assess white matter abnormalities in seventeen NPSLE patients, sixteen SLE patients without NPSLE, and twenty age- and gender-matched controls.

Results

NPSLE patients differed significantly from SLE and control patients in white matter integrity of the body of the corpus callosum, the left arm of the forceps major and the left anterior corona radiata.

Conclusions

Several possible mechanisms of white matter injury are explored, including vascular injury, medication effects, and platelet or fibrin macro- or microembolism from Libman-Sacks endocarditis.

SUBMITTER: Jung RE 

PROVIDER: S-EPMC2919505 | biostudies-literature | 2010 Jul

REPOSITORIES: biostudies-literature

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Publications

Diffusion tensor imaging in neuropsychiatric systemic lupus erythematosus.

Jung Rex E RE   Caprihan Arvind A   Chavez Robert S RS   Flores Ranee A RA   Sharrar Janeen J   Qualls Clifford R CR   Sibbitt Wilmer W   Roldan Carlos A CA  

BMC neurology 20100728


<h4>Background</h4>Neuropsychiatric systemic lupus erythematosus (NPSLE) is associated with increased morbidity and mortality.<h4>Methods</h4>We used Diffusion Tensor Imaging (DTI) to assess white matter abnormalities in seventeen NPSLE patients, sixteen SLE patients without NPSLE, and twenty age- and gender-matched controls.<h4>Results</h4>NPSLE patients differed significantly from SLE and control patients in white matter integrity of the body of the corpus callosum, the left arm of the forceps  ...[more]

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