预发性和非常早期的牛皮关节炎的特征:一个系统的文献综述,为EULAR工作组提供信息
Gabriele De Marco1,2, Alen Zabotti3, Xenofon Baraliakos4
1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
RMD open
|June 22, 2023
概括
识别患有牛皮关节炎 (PsA) 风险的个体至关重要. 早期的症状包括皮病患者的关节疼痛,关节痛和亚临床肠病症,在早期的PsA中呈现出形关节性表现.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 临床研究 临床研究
背景情况:
- 牛皮关节炎 (PsA) 的发展构成了重大的临床挑战.
- 早期识别有风险的个体对于及时干预至关重要.
- 了解从牛皮 (PsO) 和不分化关节炎 (UA) 过渡到PsA是关键.
研究的目的:
- 确定从PsO转变为PsA的患者的临床和成像特征.
- 为了表征患有UA的患者,他们发展PsA.
- 为推迟或预防PSA的治疗策略提供信息.
主要方法:
- 2021年进行了一项系统文献综述 (SLR).
- 搜索了Medline,Embase,PubMed,中央数据库以及国会摘要.
- 包括关于PsO/PsA和UA/PsA过渡的文章,对前发病和诊断特征进行整理.
主要成果:
- 18项研究分析了PsO/PsA过渡;3项研究分析了UA/PsA过渡.
- 在PsO患者中,关节痛和亚临床肠道病变与PsA发展有关.
- 早期的PsA发作主要表现为橄关节外周关节炎.
结论:
- 关节疼痛,关节痛和成像检测到的肠道干扰在高风险的PsO患者中很常见.
- 早期的PsA通常呈现为小关节性关节病.
- 这些发现为欧洲反风湿联盟 (EULAR) 致力于PsA过渡的特别工作组提供了信息.
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