在患有关节痛的牛皮病队伍中患牛皮关节炎的风险:探索亚临床牛皮关节炎阶段
Alen Zabotti1, Filippo Fagni2, Laure Gossec3,4
1Department of Medical and Biological Sciences, Rheumatology Clinic, University Hospital Santa Maria della Misericordia, Udine, Italy zabottialen@gmail.com.
RMD open
|April 10, 2024
概括
在牛皮 (PsO) 患者的亚临床牛皮性关节炎 (PsA) 显著增加了PsA风险. 早期发现肌肉骨症状,特别是关节胀,对于预防和诊断PsA至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 牛皮 (PsO) 患者有关节痛 (亚临床牛皮性关节炎或PsA) 面临更高的患病风险.
- 关于亚临床PSA进展到诊断的PSA的现实世界数据有限.
研究的目的:
- 估计患有亚临床PSA的个体中PSA发展的概率.
- 描述与亚临床PSA相关的症状.
- 在PsA诊断时确定临床表现模式.
主要方法:
- 在两个欧洲队列中对PsO患者的纵向评估.
- 关键结果:新发病的PSA.
- 使用生存分析和累积发病率函数 (CIFs) 分析肌肉骨症状和PsA发生情况.
主要成果:
- 在33个月的时间里,384名Pso患者中有80.9%患有亚临床Pso,每100个患者年Pso发病率为7.7.
- 亚临床PSA显示PSA发展的风险明显更高 (HR=11.7,p=0.016).
- 新发性PsA的累积概率在36个月内达到22.7%;83.9%的人报告了诊断前的非炎症症状和58.9%的炎症症状. 周围关节胀是主要的表现 (82.1%).
结论:
- 从亚临床状态发展PsA的概率很大.
- 监测PsO患者出现的肌肉骨症状对于PsA预防策略至关重要.
- 周围关节胀是PSA诊断时最常见的临床特征.
相关概念视频
The JAK-STAT Signaling Pathway
8.8K
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...
8.8K
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


