狼性炎中脏反应的预测因素:一个单中心前性队列研究
Dae Jin Park1,2, Young Bin Joo1,2, So-Young Bang1,2
1Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Journal of rheumatic diseases
|July 21, 2023
概括
第三类狼性炎 (LN) 预测6个月后脏反应良好. 然而,年龄较小,LN复发和抗Ro抗体表明狼性炎患者的反应较差.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
背景情况:
- 狼性炎 (LN) 是系统性红斑狼的一个严重表现.
- 确定反应的预测因素对于优化治疗策略至关重要.
研究的目的:
- 确定狼性炎 (LN) 患者反应的预测因素.
主要方法:
- 分析了来自韩国潜在的系统性红斑狼队伍的数据.
- 治疗反应被评估为完全响应 (CR),部分响应 (PR) 或不响应 (NR) 在3,6和12个月.
- 使用多变量波桑回归来确定6个月后CR的预测因素.
主要成果:
- 第三类LN与6个月后CR的可能性更高有关 (OR=1.48,p=0.001).
- 招募时年龄较小 (OR=1.02,p=0.022),复发的LN (OR=0.71,p=0.037) 和抗Ro抗体的存在 (OR=0.67,p=0.014) 与较差的CR相关.
- 新出现的LN与复发的LN相比,显示出较少的淋巴结核硬化.
结论:
- 第三类LN是6个月后LN患者反应的有利预测指标.
- 年龄较小,先前的LN复发和抗Ro抗体是反应的不利预测因素.
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