在炎症性类风湿性疾病中面部关节的参与
Arsen Shpigelman1, Aniela Shouval2, Ilai Koder3
1Spine Unit, Department of Orthopedic Surgery, Lady Davis Carmel Medical Center, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Joint bone spine
|December 15, 2023
概括
面关节 (FJ) 疾病在炎症性类风湿性疾病中很常见,如轴性脊柱关节炎和类风湿性关节炎. 需要进一步的研究,以了解其在这些疾病中的全部影响和流行率.
科学领域:
- 类风湿病学 类风湿病学
- 脊柱健康 脊柱健康
- 炎症性关节炎的治疗方法
背景情况:
- 方面关节 (FJ) 在炎症性类风湿性疾病中的参与尚未得到充分理解.
- 目前存在关于各种类风湿性疾病中的FJ疾病模式的知识差距.
研究的目的:
- 从风湿病学家的角度回顾FJ疾病.
- 突出FJ参与轴性脊髓关节炎 (axSpA),牛皮关节炎 (PsA),类风湿性关节炎 (RA) 和结晶相关关节病的临床表现和模式.
- 讨论研究FJ参与类风湿性疾病的挑战.
主要方法:
- 进行了一次系统的PubMed搜索.
- 提取了相关的文章并进行了批判性评估.
- 数据是根据作者专业知识来解释和组织的.
主要成果:
- 在X光 axSpA中,关节的干扰很常见,特别是在胸脊.
- 改变的脊柱生物力学可能会导致 axSpA 中的 FJ 融合.
- 在PsA中建议宫足关节参与,但需要进一步研究.
- 在RA中宫足关节疾病可能导致显著的发病率;胸部和腰部足关节在RA中的参与尚未得到充分研究.
- 在与水晶相关的关节病中,FJ疾病是可能的,需要高度的临床怀疑.
结论:
- 面部关节的干扰是炎症性类风湿性疾病的常见特征.
- 未来研究对于阐明这些条件下FJ疾病的流行病学和意义至关重要.
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