免疫抑制对发展一般性症状的风险的影响 眼部肌痛性肌痛严重症:回顾性队列研究
Deepak Menon1, Mohammed Alharbi1, Hans D Katzberg1
1From the Department of Neurology (D.M.), National Institute of Mental Health and Neuro Sciences, Bangalore, India; Prosserman Centre for Neuromuscular Disease (D.M., M.A., H.D.K., V.B., M.G.M., C.B.-T.), Toronto General Hospital, University Health Network; and Institute of Health Policy (C.B.-T.), Management and Evaluation, University of Toronto, Ontario, Canada.
Neurology
|July 30, 2024
概括
早期的免疫抑制,包括普雷尼松,可能会降低眼球肌痛性骨髓质疏松症 (OMG) 泛化的风险. 这项研究支持早期治疗,以防止OMG患者的症状传播.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 眼科医生 眼科 眼科
背景情况:
- 眼球肌痛性肌痛症 (OMG) 是一种建议早期免疫抑制以防止泛化的疾病.
- 支持转基因转基因早期免疫抑制的高质量证据有限.
研究的目的:
- 检查使用普得尼松和其他免疫抑制剂的治疗是否会降低转基因转基因的泛化风险.
- 提供早期使用转基因患者免疫抑制的证据.
主要方法:
- 对154名纯GMO成年患者的回顾性研究和至少6个月的随访.
- 使用倾向性得分和治疗权重的逆概率 (IPTW) 来比较用免疫抑制剂治疗的患者与对照患者.
- 采用Cox的比例危险模型来估计危险比 (HR) 的概括性.
主要成果:
- 接受普得尼松治疗的患者表现出一般化风险降低 (HR 0.43-0.46).
- 接受任何免疫抑制剂的患者也有较低的泛化风险 (HR 0.30-0.35).
- 从诊断到概括的平均时间为24.2个月,28%的患者进行了概括.
结论:
- 类固醇和非类固醇免疫抑制与转基因转基因的泛化风险降低有关.
- 这些发现支持对OMG患者早期使用免疫抑制药物,以防止症状进展.
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