一项患者调查探讨了已知牛皮患者的炎症性背痛负担
Sophia Watts1, Lydia G Nagib2, Sian Bamford3
1Dermatology, Royal Free London NHS Foundation Trust, London, GBR.
Cureus
|February 9, 2024
概括
炎症性背痛 (IBP) 在牛皮患者中很常见,许多人可能未被诊断为轴性脊柱关节炎 (axSpA). 提高意识和查对于及时的风湿病转诊和诊断至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
背景情况:
- 轴性脊柱关节炎 (axSpA) 的诊断延迟是英国的一个重要问题.
- 牛皮是一种常见的肌肉骨外表现,与axSpA.相关.
- 在牛皮患者中识别炎症性背痛 (IBP) 可以帮助早期检测axSpA.
研究的目的:
- 在伦敦皮肤病诊所确定牛皮患者中IBP的患病率.
- 为了识别没有被转介给风湿病学家的IBP牛皮患者.
- 在这个队列中调查导致axSpA诊断延迟的因素.
主要方法:
- 在2023年5月至7月期间,一项22个问题的调查评估了66名牛皮患者的IBP.
- 柏林标准被用来确定IBP在患者背部疼痛超过三个月.
- 该调查收集了人口统计数据,背部疼痛史和先前的医疗保健咨询.
主要成果:
- 在51名受访者中,45%报告背部疼痛超过3个月;25%符合IBP的柏林标准.
- 在13名IBP患者中,只有4人被诊断为axSpA;14%的人可能未被诊断为axSpA.
- 大多数患者咨询了全科医生,但只有39%的人看了风湿病学家,17%的人没有寻求医疗建议.
结论:
- 皮炎是一种常见的,未被诊断的皮病患者的并发症,表明潜在的axSpA.
- 提高医疗保健专业人员的意识和教育对于早期 axSpA 检测至关重要.
- 需要查工具和简化转诊途径,以改善类风湿病转诊.
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