The association between the antiphospholipid antibody syndrome and neuropsychological impairment in SLE

Date
1999
Authors
Whitelaw D.A.
Spangenberg J.J.
Rickman R.
Hugo F.H.
Roberts M.
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Abstract
Objective: To examine the relationship between neuropsychological impairment and antiphospholipid antibody syndrome (aPL syndrome) in patients with systemic lupus erythermatosus (SLE). Patients: Sixty-nine patients satisfying ACR criteria were studied. Sixteen patients with the aPL syndrome and 53 patients without the syndrome were subjected to eight neuropsychological tests, a physical examination and serological investigations. No patients with other pathology, known to cause acute or chronic impairment of neuropsychological function, were included. Sixty-five underwent MRI scans. Results: There were no significant differences in age, level of education, incidence of hypertension or disease activity in the two groups. Pearson's correlation coefficients revealed a significant negative correlation with duration of disease in six out of eight tests in the aPL positive group and one out of eight in the aPL negative group. This suggests that aPL syndrome may be involved in the psychological impairment in SLE patients. A larger cohort needs to be studied to confirm this observation.
Description
Keywords
phospholipid antibody, adult, age, antiphospholipid syndrome, article, clinical trial, controlled clinical trial, controlled study, correlation function, disease activity, disease duration, education, female, human, hypertension, major clinical study, male, neuropsychological test, nuclear magnetic resonance imaging, physical examination, priority journal, psychopathy, serology, systemic lupus erythematosus, Adolescent, Adult, Antiphospholipid Syndrome, Cognition Disorders, Female, Humans, Lupus Erythematosus, Systemic, Male, Middle Aged, Neuropsychological Tests
Citation
Lupus
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