超越非常早期的全身性硬化症:解读前硬化症及其轨迹,为预防医学开辟新的途径
Alain Lescoat1, Silvia Bellando-Randone2, Corrado Campochiaro3
1Department of Internal Medicine and Clinical Immunology, CHU Rennes, University of Rennes 1, Rennes, France; Institut de Recherche en Sante, Environnement, et Travail, CHU Rennes, University of Rennes, Inserm, EHESP, Rennes, France.
The Lancet. Rheumatology
|January 22, 2024
概括
在早期干预中,识别小症状前硬化症阶段的个体至关重要. 这种方法为在不可逆转的器官或皮肤损伤发生之前管理系统性硬化症提供了新的机会.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 翻译医学是一种翻译医学.
背景情况:
- 系统性硬化症的诊断往往发生迟,在不可逆转的器官损伤后.
- 早期识别有风险的个体是具有挑战性的,但对于及时干预至关重要.
研究的目的:
- 为"前硬化皮肤病"阶段定义一个概念框架.
- 探索识别系统性硬化发展高风险个体的参数.
- 讨论早期干预在前硬化皮肤病阶段的潜力.
主要方法:
- 对有关早期系统性硬化症表现现现象的现有文献的审查.
- 讨论用于定义前硬化皮肤病阶段的候选参数.
- 探索自身抗体及其在疾病发病过程中的功能性作用.
主要成果:
- 拟议的"前硬化症"阶段代表了明显纤维化变化之前的窗口.
- 鉴定风险人群和特定的自身抗体是定义这一阶段的关键.
- 对于前硬化皮肤的概念框架可以指导早期检测策略.
结论:
- 脊髓硬化前模式为管理系统性硬化症提供了一种新的方法.
- 在前硬化症阶段的早期治疗可以预防或减轻器官纤维化和皮肤表现.
- 这种方法有可能显著改变系统性硬化症管理的过程.
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