伊朗多发性硬化症患者的民族差异,基于国家注册的研究
Fereshteh Ashtari1, Aryan Kavosh2, Seyed Mohammad Baghbanian3
1Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Clinical neurology and neurosurgery
|March 15, 2024
概括
这项研究揭示了伊朗多发性硬化症 (MS) 人口统计和临床结果的显著种族差异. 了解这些差异对于针对不同种族群体的MS诊断和预后至关重要.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 遗传学 是一个遗传学.
背景情况:
- 历史上,多发性硬化症 (MS) 研究一直专注于西方人群,在了解种族差异方面存在差距.
- 伊朗在中东地区的MS患病率最高,使其成为基于种族的研究的关键地区.
研究的目的:
- 调查伊朗主要种族中MS (pwMS) 患者的人口和临床差异.
- 探索种族在诊断和预后的潜在作用MS在一个国家.
主要方法:
- 一项横截面研究利用了来自伊朗国家多发性硬化病登记处的数据.
- 来自六个省的PwMS接受了采访,以确定种族 (波斯人,库尔德人,卢尔人,阿塞拜疆人,阿拉伯人,马赞达拉尼人).
- 人口和临床特征在各族群之间进行了比较.
主要成果:
- 在不同种族的发病年龄,年龄分布和诊断年龄方面观察到显著的差异.
- 现型分布,向二次渐进性多发性硬化症 (SPMS) 的进展和复发率存在显著差异.
- 库尔德人显示了最高的扩展残疾状态量表 (EDSS) 评分,而卢尔人则是最低的.
- 波斯人患儿多发性硬化和临床隔离综合征 (CIS) 的比率更高;阿拉伯人患复发性复发性硬化和SPMS的比率更高.
结论:
- 种族背景影响MS诊断,疾病过程和进展.
- 波斯人患儿多发性硬化和CIS的比例较高,而库尔德人和卢尔人则表现出不同的EDSS分数和复发率.
- 在伊朗观察到的种族差异强调了需要在MS管理和研究中采取特定种族的方法.
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