在患有Sjögren综合征的患者中,间歇性肺病和相关因素
Gökhan Sargın1, Huseyin Baygin2, Songul Cildag2
1Department of Rheumatology, Medical Faculty, Aydin Adnan Menderes University, Aydın, Turkey. gokhan_sargin@hotmail.com.
Irish journal of medical science
|February 16, 2024
概括
间歇性肺病 (ILD) 影响8.7%的Sjögren患者.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 内部医学 内部医学
背景情况:
- 间歇性肺病 (ILD) 是Sjögren综合征 (SjS) 的重要并发症,增加死亡风险.
- 早期识别ILD及其风险因素对于管理类风湿性疾病至关重要.
研究的目的:
- 为了调查Sjögren综合征患者ILD的患病率.
- 确定与SjSILD相关的临床,实验室和成像因素.
主要方法:
- 一项涉及403名Sjögren综合征患者的横截面队列研究.
- 临床,实验室,血清学和成像特征的比较,包括肺部受影响和没有肺部受影响的患者.
- 后勤回归分析以确定肺部参与的风险因素.
主要成果:
- 8.7%的SjS患者表现出ILD.
- 独立的ILD风险因素包括老年 (>65岁),雷诺病现象和吸烟.
- 非特异性间歇性肺炎和常见间歇性肺炎是最常见的ILD类型.
结论:
- 高龄,吸烟和雷诺现象是SjS患者ILD的重要危险因素.
- 男性患者的肺部感染率更高,可能是由于吸烟率更高和尼古丁消费时间更长.
- 年龄,吸烟和ILD严重程度是比炎症或自身抗体更重要的预后指标.
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