Abstract

Guillermo Ruiz-Irastorza and colleagues (March 31, p 1027)1Ruiz-Irastorza G Khamashta MA Casteltino G Hughes GRV Systemic lupus erythematosus.Lancet. 2001; 357: 1027-1032Summary Full Text Full Text PDF PubMed Scopus (255) Google Scholar review major advances in clinical issues related to systemic lupus erythematosus (SLE). However, new results on central nervous system SLE and the upcoming role of positron emission tomography (PET) have not been included.In central nervous system SLE, functional (metabolic) brain lesions visualised by fluorine-18-labelled fluoro-2-deoxy-D-glucose PET might be a risk factor for subsequent structural brain damage seen on magnetic resonance imaging.2Weiner SM Otte A Schumacher M et al.Alterations of cerebral glucose metabolism indicate progress to severe morphological brain lesions in neuropsychiatric systemic lupus erythematosus.Lupus. 2000; 9: 386-389Crossref PubMed Scopus (32) Google Scholar PET imaging of the brain could be a powerful tool for the diagnosis of manifest or even subclinical central nervous system involvement in SLE and to correlate well with its clinical course.3Weiner SM Otte A Schumacher M et al.Diagnosis and monitoring of central nervous system involvement in systemic lupus erythematosus: value of F18 fluorodeoxyglucose PET.Ann Rheum Dis. 2000; 59: 377-385Crossref PubMed Scopus (107) Google Scholar Guillermo Ruiz-Irastorza and colleagues (March 31, p 1027)1Ruiz-Irastorza G Khamashta MA Casteltino G Hughes GRV Systemic lupus erythematosus.Lancet. 2001; 357: 1027-1032Summary Full Text Full Text PDF PubMed Scopus (255) Google Scholar review major advances in clinical issues related to systemic lupus erythematosus (SLE). However, new results on central nervous system SLE and the upcoming role of positron emission tomography (PET) have not been included. In central nervous system SLE, functional (metabolic) brain lesions visualised by fluorine-18-labelled fluoro-2-deoxy-D-glucose PET might be a risk factor for subsequent structural brain damage seen on magnetic resonance imaging.2Weiner SM Otte A Schumacher M et al.Alterations of cerebral glucose metabolism indicate progress to severe morphological brain lesions in neuropsychiatric systemic lupus erythematosus.Lupus. 2000; 9: 386-389Crossref PubMed Scopus (32) Google Scholar PET imaging of the brain could be a powerful tool for the diagnosis of manifest or even subclinical central nervous system involvement in SLE and to correlate well with its clinical course.3Weiner SM Otte A Schumacher M et al.Diagnosis and monitoring of central nervous system involvement in systemic lupus erythematosus: value of F18 fluorodeoxyglucose PET.Ann Rheum Dis. 2000; 59: 377-385Crossref PubMed Scopus (107) Google Scholar Systemic lupus erythematosusAuthors' reply Full-Text PDF

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