在患有炎症性肠道疾病的患者中,疹的发生率
Anna Calm1, Margalida Calafat2, Carlos González-Muñoza3
1Servicio de Aparato Digestivo, Hospital Universitari Germans Trias i Pujol, Badalona, Cataluña, España.
概括
疹 (HZ) 在炎症性肠病 (IBD) 患者中很常见,特别是那些接受免疫抑制治疗 (IMT) 的人. 生物疗法显著增加了HZ风险,在显著比例的病例中出现了后神经疼痛 (PHN).
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 疹疹 (HZ),由疹疹病毒 (VZV) 再激活引起,导致慢性发病,包括疹后神经疼痛 (PHN).
- 炎症性肠病 (IBD) 患者,特别是那些接受免疫抑制治疗 (IMT) 的患者,面临着高风险的HZ,但这方面的研究是有限的.
研究的目的:
- 为了确定IBD患者中HZ的发病率.
- 在这个人群中识别与HZ发展相关的风险因素.
主要方法:
- 进行了一项追溯研究,涉及两家巴塞罗那医院的IBD患者,具有阳性VZV血清学.
- 收集了关于HZ诊断,临床特征和患者治疗的数据.
主要成果:
- 在398名IBD患者中,17名 (4.3%) 在平均71个月的随访期内发展出HZ,每1000人年发生率为5.2.
- 大多数HZ病例 (70.6%) 发生在接受IMT的患者中.
- 生物治疗被确定为HZ的唯一显著风险因素 (OR 3.8,p=0.018).
结论:
- HZ在IBD患者中很普遍,通常发生在较年轻的年龄.
- 接受IMT,特别是生物治疗的患者患上HZ的风险更高.
- 后神经疼痛 (PHN) 是这个队列中HZ的常见并发症.
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