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青少年系统性硬化症患者的性别差异:来自国际青少年硬化症发病队列的结果
Ivan Foeldvari1, Jens Klotsche2, Ozgur Kasapcopur3
1Hamburg Centre for Pediatric and Adolescent Rheumatology, Schön Klinik Hamburg Eilbek, Hamburg, Germany.
Journal of scleroderma and related disorders
|June 8, 2023
概括
青春期发作的全身性硬化症在男性和女性中呈现不同. 虽然男性最初表现出更严重的症状,但随着时间的推移,女性会发展出更多的肺部干扰,这表明性别特定的监测需要.
科学领域:
- 类风湿病学 类风湿病学
- 儿科 儿科 儿科
- 系统性硬化症研究研究
背景情况:
- 青少年发病系统性硬化症 (jSSc) 是一种罕见的自身免疫性疾病,影响儿童.
- 了解JSSc的性别差异对于量身定制的治疗和管理至关重要.
研究的目的:
- 为了比较男性和女性患有青少年发病系统性硬化症的患者之间的器官参与和疾病严重程度.
主要方法:
- 在基线和12个月后评估了175名jSSc患者 (142名女性,33名男性) 的潜在国际队列.
- 人口统计,器官参与,实验室数据和医生评估在两性之间进行了比较.
主要成果:
- 男性在基线时表现出更高的活跃数字,低BMI和肌摩擦摩擦率.
- 医生评估的疾病严重程度和数字活动最初在男性中较大.
- 肺部干扰在基线时在男性中更频繁,但在12个月后转向女性.
结论:
- jSSc显示出明显的基于性别的模式,男性最初的严重程度更高,但女性随着时间的推移发展出更多的肺部问题.
- 尽管存在一些成人模式差异,但在男性儿科患者中没有发现心脏或肺高血压风险增加.
- 对JSSc器官干扰的标准化监测协议应平等地适用于两性.
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