在牛皮关节炎中的轴性参与:横截面临床和放射学研究
Noha A Elsawy1, Shaimaa E Farahat1, Mohamed M El Shafei2
1Department of Physical Medicine Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Current rheumatology reviews
|September 13, 2023
概括
大部分牛皮关节炎患者表现出放射性轴干涉,往往没有症状. 这种脊柱疾病,特别是在宫区域,在男性中更为普遍,并且与增加的残疾有关.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 免疫学 免疫学 免疫学
背景情况:
- 牛皮病性关节炎 (PsA) 是一种慢性炎症性疾病,影响关节和关节.
- 脊柱干涉,或轴性PsA,是一个公认的但往往被误诊的并发症.
- 早期检测和表征轴性PsA对于患者管理至关重要.
研究的目的:
- 评估牛皮关节炎患者脊柱损伤的患病率和模式.
- 关联轴心PSA的临床和放射性发现.
- 确定与PsA轴性疾病相关的人口和临床因素.
主要方法:
- 50名符合CASPAR标准的牛皮关节炎患者的横截面研究.
- 进行了临床检查和功能评估.
- 进行了脊椎的放射性评估.
主要成果:
- 76%的PsA患者表现出放射性轴干涉,其中50%是亚临床 (无症状).
- 常见的模式包括脊椎炎与神经炎 (78.94%).
- 轴性PsA在男性,老年患者,体重指数较高,牛皮持续时间较长,疾病严重程度较高的患者中更常见,与增加的残疾和降低生活质量相关.
结论:
- 在PsA患者中,放射性轴干涉的患病率很高,经常无症状.
- 宫脊椎比腰椎更常受到影响.
- 轴性PsA的特点是男性占主导地位,年龄较大,BMI较高,并与显著的功能障碍有关.
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