初级Sjogren综合征的特征,在初始治疗时具有关节表现
Lin Zhao1, Zheng Wang1, Mingxi Xu1
1The Department of Rheumatology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
初级Sjogren综合征的关节表现很常见,通常呈现为对称多关节炎. 这些症状与较高的C-反应蛋白和疾病活性得分相关,这表明需要量身定制的治疗策略.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 关节表现发生在主要Sjogren综合征 (pSS) 患者的很大一部分.
- 了解关节参与的pSS患者的临床特征对于有效管理至关重要.
研究的目的:
- 描述中国患者的临床和血清学特征pSS呈现关节表现.
- 为了将这些特征与没有关节参与的pSS患者进行比较.
主要方法:
- 对129名接受初始治疗的pSS患者进行了回顾性研究.
- 临床,血清学和治疗数据的比较,包括有或没有关节症状的患者.
主要成果:
- 44.2%的pSS患者表现出关节表现,主要是对称多关节炎.
- 关节干扰与抗CCP抗体水平,C-反应蛋白和EULAR Sjogren综合征疾病活动指数 (ESSDAI) 分数呈正相关性.
- 在患有关节症状的患者中,氧化的使用频率较低.
结论:
- 对称多关节炎是这个pSS队列中最常见的关节表现.
- 在pSS的关节表现与增加的疾病活动标志物 (CRP,ESSDAI) 有关.
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