系统性硬化症中的甲状腺疾病:综合性审查
Aifer Cherim1,2, Răzvan-Cosmin Petca3,4, Mihai-Cristian Dumitrascu5,6
1Department of Dermatovenerology, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.
系统性硬化症 (硬化皮质) 与增加的甲状腺疾病有关,包括甲状腺功能低下和甲状腺功能过高,特别是在女性中. 甲状腺自身免疫标记物在硬化肌病患者中更为常见,影响疾病预后.
科学领域:
- 风湿病学和内分泌学.
- 自身免疫性疾病 研究 研究 研究
背景情况:
- 系统性硬化症 (硬皮症) 是一种慢性自身免疫性疾病,影响皮肤和器官.
- 它主要影响女性,并且可以与甲状腺疾病同时发生.
- 疲劳和体重变化等症状在全身性硬化症和甲状腺疾病之间重叠.
研究的目的:
- 综合审查甲状腺疾病与全身性硬化症之间的关系.
- 使用PubMed来源的研究分析2002-2022年间的证据.
主要方法:
- 对21项原始研究进行了系统分析.
- 包括32,285名患者的数据.
- 文献综述,重点关注甲状腺功能障碍和全身性硬化症标志物.
主要成果:
- 在全身性硬化症患者,尤其是女性中,提升的TSH水平和甲状腺功能低下更为常见.
- 甲状腺功能障碍的发生在全身性硬化症中增加,对预后产生负面影响.
- 在全身性硬化症中观察到甲状腺抗体 (抗TPO) 和自身免疫疾病的更高患病率.
结论:
- 系统性硬化症与甲状腺功能障碍和特定自身抗体的发病率较高有关.
- 甲状腺疾病可能会影响全身性硬化症的预后,需要临床关注.
- 需要进一步的研究来澄清复杂的相互作用和临床影响.
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