牛皮关节炎的放射性进展和预测因素:从长达十年的回顾性队列研究的见解
Ozlem Ozdemir Isik1, Neslihan Gokcen2, Duygu Temiz Karadag2
1School of Medicine, Department of Internal Medicine, Division of Rheumatology, Kocaeli University, Kocaeli, Turkey. luska80@hotmail.com.
Clinical rheumatology
|December 3, 2023
概括
牛皮关节炎通常会在十年内导致关节空间缩小和骨增殖,而不是侵蚀. 男性的性别,年龄较大和较高的初始疾病活动预测了这种骨损伤.
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.
- 整形外科 整形外科 整形外科
背景情况:
- 众所周知,牛皮关节炎 (PsA) 会导致放射性变化.
- 随着时间的推移,PsA中关节参与的进展需要进一步调查.
研究的目的:
- 通过使用常规放射学来研究牛皮关节炎患者的骨结构变化.
- 为了确定PsA中放射性进展的预测因素.
主要方法:
- 追溯性队列研究与横截面疾病活动评估.
- 评估疾病活动,皮肤/指甲参与和放射性进展,使用简化牛皮关节炎放射性评分 (SPARS).
- 后勤回归分析以确定放射性变化的预测因素.
主要成果:
- 与基线相比,关节空间缩小和手部骨扩散以及脚部关节空间缩小在最终评估时更为频繁.
- 随着时间的推移,手和脚关节空间缩小和骨扩散的总分数显著增加.
- 男性的性别,年龄较大,高基线DAPSA得分,以及对称的多关节参与预测了结构变化.
结论:
- 关节空间的缩小和扩散在十年内比PsA的侵蚀更为普遍.
- 放射性损伤的预测因素包括男性性别,年龄较大,较高的初始DAPSA得分和初始多关节参与.
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