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多发性硬化症与阿哈拉西亚和扩散性食道有关
Yeseong Kim1, Fahmi Shibli2, Yuhan Fu1
1Department of Internal Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Journal of neurogastroenterology and motility
|August 1, 2023
概括
多发性硬化症 (MS) 患者患上食道运动障碍的风险显著增加,例如和扩散性食道 (DES). 这些患者也表现出较高的dysautonomia率,表明更严重的疾病表型.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 多发性硬化症 (MS) 是一种中枢神经系统炎症性疾病,导致脱髓化.
- 扩散性食道 (DES) 和是食道运动障碍,导致食道乱.
- 肠神经纤维功能障碍是这些食道疾病的拟议机制.
研究的目的:
- 为了调查多发性硬化症 (MS) 是否会增加患上或扩散性食道 (DES) 的风险.
主要方法:
- 使用Explorys数据库进行了队列分析.
- 统变逻辑回归确定了与阿喀拉西亚和DES相关的MS的几率.
- 在患者队列中比较了dysautonomia并发症,不包括糖尿病和查加斯病等特定疾病.
主要成果:
- 多发性硬化症患者患上阿喀拉西亚 (OR,2.09) 和DES (OR,3.15) 的几率明显更高.
- 在MS患者中观察到更高的dysautonomia并发病率,包括尿失禁,胃衰竭,阳和失眠,与没有这些患者相比,MS患者患有阿喀拉西亚或DES.
结论:
- 多发性硬化症 (MS) 与阿喀拉西亚和扩散性食道 (DES) 的风险增加有关.
- 患有这些食道疾病的多发性硬化症患者表现出多发性硬化症的增加,这表明神经元损伤和脱髓化更严重的表型.
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