雷诺氏现象与牛皮关节炎相关
Mohd Jazman Che Rahim1,2, Jo Anne Lim3,2, Wan Syamimee Wan Ghazali3,2
1Internal Medicine, Hospital Universiti Sains Malaysia, Kota Bahru, Kelantan, Malaysia drjazman@usm.my.
BMJ case reports
|March 5, 2024
概括
雷诺氏现象是一种导致手部疼痛变色的疾病,可以发生在患有牛皮关节炎的患者身上. 早期诊断和使用通道阻断剂的治疗可以显著改善症状.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 血管医学 血管医学
背景情况:
- 牛皮关节炎 (PsA) 是一种慢性炎症性疾病.
- 雷诺现象 (RP) 的特点是四肢的偶发性血管.
- 二次性RP可能与像PSA这样的自身免疫性疾病有关.
研究的目的:
- 在患有牛皮关节炎的患者中报告二次雷诺现象的病例.
- 突出PsA患者中RP的诊断挑战和特征.
- 在这种情况下,要强调RP治疗的有效性.
主要方法:
- 一个中年女性患有PsA的病例报告.
- 临床检查,包括对硬化皮质和皮肤亡的评估.
- 实验室调查 (可提取的核抗原面板) 和皮肤镜检查指甲.
主要成果:
- 患者呈现出痛苦的手部变色,由寒冷加剧.
- 肺关节炎得到很好的控制;没有发现硬化皮质或亡的特征.
- 皮肤镜检查显示了扩张的毛细血管环,血管节省和近端指甲折叠角膜切开,导致二次RP的诊断.
结论:
- 雷诺病现象可能是牛皮关节炎的表现.
- 皮肤透视通过揭示特征性的微血管变化,对诊断二次RP非常有价值.
- 用口服通道阻塞剂治疗导致症状显著改善.
相关概念视频
Disorders of the Autonomic Nervous System
637
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
637
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30
T Cell Types and Functions
1.0K
When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
1.0K
Autoimmune Disorders
434
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
434
The JAK-STAT Signaling Pathway
8.9K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.9K


