title: [Immunology in medical practice. XIV. Central nervous system complications in systemic autoimmune diseases].
abstract: Complications of the central nervous system (CNS) are common in systemic autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus (SLE) and primary Sjögren's syndrome. Specific diagnostic tests are lacking and early intervention with immunosuppressive therapy is frequently necessary. Therefore knowledge of these CNS complications is essential for early diagnosis and treatment. Residual cognitive effects were observed in some but not in all tests after prolonged heavy cannabis use. The effects were mostly mild. The relationship of cannabis use, psychotic effects and schizophrenia was unclear; the cannabis conceivably gave relief, but it also appeared that cannabis caused schizophrenia in young people and (or) enhanced the symptoms, especially in young people poorly able to cope with stress or in whom the antipsychotic therapy was unsuccessful.
authors.affiliation: Zuiderziekenhuis, afd. Reumatologie, Rotterdam.
authors.forename: H M
authors.initials: HM
authors.lastname: Markusse
authors.forename: M J
authors.initials: MJ
authors.lastname: van den Bent
authors.forename: C J
authors.initials: CJ
authors.lastname: Vecht
mesh_terms: D001172:Arthritis, Rheumatoid / Q000150:complications*; D001327:Autoimmune Diseases / Q000150:complications*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D014657:Vasculitis / Q000150:complications*
vernacular_title: Immunologie in de medische praktijk. XIV. Complicaties van het centrale zenuwstelsel bij systemische auto-immuunziekten.