自身免疫性甲状腺疾病和类风湿性关节炎:两者在哪里相遇
Anna Lichtiger1, Golfam Fadaei2, Clement E Tagoe3,4
1Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Clinical rheumatology
|February 10, 2024
概括
自身免疫性甲状腺疾病 (AITD) 经常与类风湿性关节炎 (RA) 一起发生,可能加剧RA活动和相关疾病,如心血管疾病和纤维肌痛. 对这种重叠的进一步研究对于患者护理至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
- 内分泌学 在内分泌学.
背景情况:
- 自身免疫性甲状腺疾病 (AITD) 是最常见的自身免疫性疾病.
- AITD与类风湿性关节炎 (RA) 有共同的遗传,临床和血清学特征.
- 虽然经常被认为是器官特异性的,但AITD可以影响多个系统,特别是当与RA同时发生时.
研究的目的:
- 审查AITD和RA之间的复杂相互作用.
- 探索它们重叠的临床后果.
- 要突出甲状腺功能以外对各种健康结果的影响.
主要方法:
- 对检查AITD和RA同时发生的研究的文献综述.
- 对临床和血清学数据的分析.
- 综合关于共享和相互作用的疾病机制的证据.
主要成果:
- AITD加剧了RA疾病的活性,可能会增加损伤和二次性关节炎.
- 这种重叠会影响心血管疾病,糖尿病,代谢综合征,生育能力和临床抑郁症.
- AITD显著增加了RA患者纤维肌痛的患病率.
结论:
- AITD和RA的同时发生具有显著的临床影响,恶化疾病活动和其他表现.
- 这种相互作用影响全身健康,包括心血管结果,疼痛综合征,生育能力和心理健康.
- 临床实践应积极查RA患者的AITD,反之亦然,因为可能会增加疾病负担.
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