晚期补腺炎:定义一个研究不足的老年人群
Deveny A Y van der Weijden1, Nicole D K Koerts1, Barbara C van Munster2
1Departments of Dermatology.
The British journal of dermatology
|September 4, 2023
概括
补腺炎 (HS) 在老年人中很常见,影响该人口的0.8%. 患有HS的老年患者的发病时间较晚,并增加了并发症的风险,突出显示了有针对性的护理的需要.
科学领域:
- 皮肤病学 皮肤病学
- 流行病学 流行病学
- 老年病的医生 老年病的医生
背景情况:
- 补腺炎 (HS) 是一种慢性皮肤疾病,通常在青春期后发展,在老年人群中,患病率被认为会下降.
- 关于HS在老年人群中的数据有限,特别是关于其流行率,临床表现和相关健康问题.
研究的目的:
- 为了确定老年人 (≥60岁) 腺炎 (HS) 的患病率和临床特征.
- 在老年人群中调查与HS相关的并发症.
- 为了将老年HS患者与成人HS患者和年龄匹配的无HS对照进行比较.
主要方法:
- 在荷兰使用生命线队列研究进行的一项全民调查确定了老年HS患者 (≥60岁).
- 老年HS患者的临床数据与成年HS患者 (<60岁) 的临床数据进行了比较.
- 老年HS患者的并发症与性别和年龄相匹配的老年对照组 (1:4比) 相比较.
主要成果:
- 在老年人中,HS的患病率为0.8% (95% CI 0.4-1.2).
- 与成年HS患者 (平均23岁) 相比,老年HS患者出现症状的年龄明显晚 (平均40岁).
- 与对照组相比,老年HS患者的女性:男性比例为1.7:1.0,HS家族病史较高,并显著增加并发症风险.
结论:
- 在老年人群中,补腺炎 (HS) 并非罕见.
- 老年人HS的发病年龄和受影响的身体区域有所不同,与年轻人相比,女性占主导地位较低.
- 患有HS的老年人更容易患多病症,因此建议将"HS tarda"术语用于老年发病或持久性HS,并提出细分.
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