系统性红斑狼患者的器官损伤:一个多因素现象
Fulvia Ceccarelli1, Carlo Perricone2, Francesco Natalucci1
1Lupus Clinic, Division of Rheumatology, Department of Internal Clinical Sciences, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Autoimmunity reviews
|June 10, 2023
概括
预防系统性红斑狼 (SLE) 的慢性损伤需要解决疾病活动之外的因素. 抗脂抗体,葡萄糖皮质类药物,遗传学和并发症显著促进SLE损伤的进展.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 在系统性红斑狼 (SLE) 中预防慢性损伤是一个重要的未满足的临床需求,即使有治疗到目标的策略.
- 在SLE患者中慢性损伤的高发病率表明多因素的原因超出了仅仅是疾病活动.
研究的目的:
- 识别和分析导致SLE患者慢性损伤发展和进展的因素.
- 突出需要全面的疾病控制评估,包括慢性损伤评估.
主要方法:
- 审查和综合现有关于SLE患者管理和结果的已发表数据.
- 分析疾病活动,特定生物标志物,药物,遗传因素,人口统计和与SLE相关损伤的并发症之间的关联.
主要成果:
- 疾病活性,抗脂抗体和葡萄糖皮质激素的使用与SLE相关的损伤密切相关.
- 遗传背景可能会影响特定器官损伤 (脏,神经),以及人口因素和并发症.
结论:
- 与SLE相关的损伤是多因素的,受疾病活性,抗脂抗体,药物,遗传学,人口统计和并发症的影响.
- 目前的管理策略需要不断发展,以整合慢性损伤的综合评估与疾病活动一起,以改善患者的治疗结果.
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