牛皮的多病症作为牛皮性关节炎的危险因素:一个基于人口的研究
Paras Karmacharya1,2, Rikesh Chakradhar2,3, Cassondra A Hulshizer4
1Division of Rheumatology & Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Rheumatology (Oxford, England)
|January 31, 2024
概括
患有牛皮的患者,特别是那些现有多种健康状况 (多种疾病) 的患者,面临患牛皮关节炎 (PsA) 的风险明显更高. 早期监测牛皮患者多病症对于预防牛皮病至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 类风湿病学 类风湿病学
- 流行病学 流行病学
背景情况:
- 牛皮是一种慢性炎症性疾病,与各种并发症有关.
- 了解牛皮多病症的负担及其对牛皮关节炎 (PsA) 发展的影响对于患者管理至关重要.
研究的目的:
- 为了调查牛皮患者多病症的患病率.
- 确定多病症和随后的牛皮关节炎 (PsA) 的发展之间的关联.
主要方法:
- 使用罗切斯特流行病学项目的回顾性队列研究.
- 确定的发病和流行牛皮队列和匹配的对比器.
- 定义了多病症和PsA,使用既定的标准和分析了与Cox模型的关联.
主要成果:
- 与对照组相比,多发性病变在患有多发性牛皮的患者中更为常见 (OR 1.35-1.48),但与对照组相比,没有意外病例.
- 在平均13.3年的随访期间,2.9%的牛皮患者患上了PsA.
- 基线多病症 (≥2种疾病) 与患PsA的风险增加3倍有关.
结论:
- 牛皮患者可能会经历加速的多病态发展.
- 牛皮发病时的多病症是PsA发展的重要危险因素.
- 建议密切监测多病症牛皮病患者的PsA.
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