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成年期青少年异常性关节炎的复发:一个单心经验
Laura Scagnellato1, Giacomo Cozzi1, Ilaria Prosepe2
1Rheumatology Unit, Department of Medicine DIMED, Padova University Hospital, Padova, Italy.
PloS one
|May 2, 2024
概括
青春期异常性关节炎 (JIA) 患者在过渡到成人护理后面临复发的高风险. 单关节卷入是JIA年轻成年人早期疾病活动的主要预测因素.
科学领域:
- 类风湿病学 类风湿病学
- 儿科风湿病学 儿科风湿病学
- 成人类风湿病理学
背景情况:
- 青少年异常性关节炎 (JIA) 给年轻成年人带来了长期的挑战,他们正在过渡到成人护理.
- 了解过渡后的复发风险对于管理年轻成年人的JIA至关重要.
研究的目的:
- 描述一组年轻成年JIA患者的队列.
- 评估风险和确定疾病复发的预测因子,在过渡到成人类风湿病治疗后.
主要方法:
- 一个意大利中心的50名年轻成年JIA患者 (18-30岁) 的回顾性研究 (2020年1月至2023年3月).
- 排除全身发病的JIA;收集关于临床,血清学和人口因素的数据.
- 用华莱士标准定义的疾病复发;使用考克斯回归分析的风险因素.
主要成果:
- 50名患者中有23人复发,其中大多数涉及膝盖.
- 单关节炎被确定为36个月内复发的主要危险因素 (HR 4.67,p=0.041).
- 诸如疾病亚型,先前/当前治疗 (csDMARDs,bDMARDs) 和过渡前疾病活动等因素并不能显著预测复发.
结论:
- 在转移到成人护理的JIA患者中复发的风险很大.
- 单关节性参与是这个人群中早期复发的关键预测因素.
- 管理策略应考虑年轻成人JIA患者的高复发率和特定风险因素.
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