牛皮似乎经常被低诊断在患者与轴性脊椎关节炎
Angelique Rondags1, Laura van Marle2, Barbara Horváth2
1Department of Dermatology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. a.l.v.rondags@umcg.nl.
Arthritis research & therapy
|August 9, 2023
概括
轻度牛皮在轴性脊椎关节炎 (axSpA) 患者中往往被诊断不足. 带有牛皮图片的自我查问卷可能有助于在临床实践中识别这些病例.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 轴性脊椎关节炎 (axSpA) 经常与骨外表现 (ESM) 一起发生,尤其是牛皮.
- 在axSpA患者中及时诊断牛皮对于优化治疗和两种情况的结果至关重要.
研究的目的:
- 为了评估牛皮在axSpA患者队列中的患病率.
- 评估患者自我查问卷与视觉辅助工具在确定未被诊断的牛皮在这个人群中的实用性.
主要方法:
- 一项使用荷兰格罗宁根Leeuwarden轴性脊柱关节炎 (GLAS) 队列的观察性研究.
- 一份包含 psoriasis 自我查问题和原型图像的问卷分发给符合条件的患者.
- 牛皮的诊断验证使用医疗记录进行.
主要成果:
- 在448名被分析的受访者中,13%的人报告了牛皮症状,确定的患病率为6.3%.
- 患有自我报告的牛皮但未经验证的诊断的患者主要经历了轻微的症状和不那么典型的病变位置.
- 在目前活跃牛皮的axSpA患者中,74%的人只报告了轻微的症状.
结论:
- 轻度牛皮在轴性脊椎关节炎患者中经常被诊断不足.
- 一个包含视觉牛皮病例的患者问卷显示了在临床环境中识别未被诊断的病例的希望.
- 建议为临床应用进一步验证开发的问卷.
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