在老年发病和年轻发病的类风湿关节炎患者中,关节关节的参与
Manolya Ilhanli1, Ilker Ilhanli2
1Giresun University, Health Application and Research Center - Giresun, Turkey.
Revista da Associacao Medica Brasileira (1992)
|August 23, 2023
概括
老年发病的类风湿性关节炎 (RA) 与年轻发病的RA相比,显示出类似的关节参与和MRI发现. 这表明RA患者的不同年龄组的疾病特征相似.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 老年病的医生 老年病的医生
背景情况:
- 类风湿性关节炎 (RA) 可以根据发病年龄呈现不同的表现.
- 关节 (TMJ) 干扰是 RA 的已知并发症.
研究的目的:
- 为了比较老年发病的RA (≥60岁) 和年轻发病的RA之间的TMJ参与和MRI发现.
- 确定与这些群体TMJ参与相关的临床和实验室特征的潜在差异.
主要方法:
- 87名RA患者的回顾性分析,按发病年龄分类 (老年人≥60岁).
- 通过MRI评估的TMJ参与,注意到侵蚀,平坦化,再吸收,关节空间缩小,输出,突性缩和突炎.
- 记录了临床数据,包括年龄,性别,类风湿因子 (RF),抗CCP抗体,关节外发现,治疗和疾病活性.
主要成果:
- 在RA患者中,关节干扰是普遍存在的 (77%).
- 在老年发病的RA (60%) 和年轻发病的RA (80.6%) 之间,TMJ参与率没有显著差异.
- 风湿因子和抗CCP阳性在患有关节干扰的年轻发 RA 患者中更为频繁. 带状吸收是唯一不同的MRI发现.
结论:
- 老年发病的RA和年轻发病的RA表现出类似的TMJ参与模式.
- 在两个年龄组之间,MRI发现和关节干扰的临床/实验室特征是可比的.
- 发病年龄似乎不是关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节关节
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