补充性腺炎的诊断延迟:仍然是一个未解决的问题
Inês Aparício Martins1, Beatriz Figueira Vilela1, Joana Cabete1,2
1Dermatology and Venereology Department, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Skin appendage disorders
|April 4, 2024
概括
补腺炎 (HS) 的诊断仍然存在显著的延迟,平均为10.1年. 诸如早期症状发作和特定的身体位置等因素与HS患者的更长的诊断延迟有关.
科学领域:
- 皮肤病学 皮肤病学
- 炎症性皮肤疾病 炎症性皮肤疾病
- 医学诊断 医学诊断 医学诊断
背景情况:
- 补腺炎 (HS) 是一种慢性炎症性皮肤疾病.
- 迟迟诊断HS导致严重的局部并发症,全身性疾病,治疗效率降低.
研究的目的:
- 为了确定HS患者的诊断延迟.
- 确定导致HS诊断延迟的因素.
主要方法:
- 追溯观察性研究.
- 对285名HS患者的临床记录进行分析,这些患者在2006年至2022年期间在第三级医院被诊断出HS.
主要成果:
- 对于HS的平均诊断延迟是10.1年,随着时间的推移没有改善.
- 延迟与较早的症状发作,特定的损伤位置 (乳房,大腿),卵泡表型和并发症 (心血管,精神病) 相关.
- 吸烟,较高的BMI和疾病严重程度影响了诊断时间表,而病史与早期诊断有关.
结论:
- 对于HS的诊断延迟没有得到改善,并且与不太典型的临床表现和全身状况有关.
- 早期识别HS对于减轻长期并发症和改善患者的治疗结果至关重要.
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