青少年皮肤肌炎中结的初始表现和危险因素:一项回顾性多中心研究
Mustafa Cakan1, Semanur Ozdel2, Serife Gul Karadag3
1Department of Pediatric Rheumatology, University of Health Sciences, Zeynep Kamil Women and Children's Diseases Training and Research Hospital, Istanbul, Turkiye.
Northern clinics of Istanbul
|July 12, 2023
概括
青少年皮肤肌炎 (JDM) 中的炎仍然是一个挑战,诊断延迟和特定症状等因素增加了风险. 早期检测和治疗对于管理JDM并发症至关重要.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 自免疫性疾病 自免疫性疾病
- 皮肤病学 皮肤病学
背景情况:
- 青少年皮肤肌炎 (JDM) 是一种罕见的自身免疫性疾病,影响儿童.
- 化,即沉积在软组织中,是JDM的一个重要并发症.
- 了解炎的危险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定JDM的初始临床表现.
- 报告JDM儿童的随访结果.
- 为了调查与JDM患者化症的发展相关的风险因素.
主要方法:
- 追溯审查2005年至2020年间被诊断患有JDM的儿童的医疗记录.
- 分析人口统计数据,诊断时的临床特征,病程和病的发展.
- 统计分析包括多变量后勤回归来确定独立的风险因素.
主要成果:
- 该研究包括48名儿童 (33名女孩,15名男孩),发病时平均年龄为7.6岁.
- 在22.9%的患者中发生了结.
- 与较高的结症风险相关的因素包括肌痛,活色素,皮肤下色素,较低的ALT水平,较高的医生视觉模拟分数,诊断延迟和慢性持续性疾病过程.
结论:
- 虽然JDM死亡率有所下降,但石灰病的发病率仍然令人担忧.
- 长时间的活跃,未经治疗的疾病是结症的主要危险因素.
- 诊断时的特定临床发现可能表明,在JDM中,化发育的风险更高.
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