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西班牙北部ANCA血管炎的流行病学
Fabricio Benavides-Villanueva1, Alba Herrero-Morant1, Diana Prieto-Peña1
1Rheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.
Rheumatology (Oxford, England)
|August 6, 2024
概括
在西班牙北部,抗中性粒细胞抗体 (ANCA) 相关血管炎 (AAV) 的发生率高于南部地区,但低于北欧地区. 近年来,AAV的发病率显著增加,特别是在多层炎的粒状瘤中.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 免疫学 免疫学 免疫学
背景情况:
- 抗中性粒细胞体抗体 (ANCA) 相关血管炎 (AAV) 发生率因分类标准和研究人群的不同而在全球范围内有所不同.
- 标准化标准对于准确的AAV发病率估计至关重要.
研究的目的:
- 通过使用标准化分类标准,在一个明确的人群中确定AAV的发病率.
- 将西班牙北部的AAV发病率与其他地区进行比较.
主要方法:
- 从2000年到2023年,在西班牙北部的坎塔布里亚进行了基于人口的研究.
- 使用2022年ACR/EULAR标准将患者分类为具有多炎 (GPA) 和显微多炎 (MPA) 的粒状瘤.
- 每年发病率计算在每100万人口中,分层按AAV类型,性别和年份分层.
主要成果:
- 每年AAV的总发病率为每10^6人口中的13.4.
- 对MPA和GPA的发病率分别为5.9和5.6每106.
- 在过去三年中,AAV发病率显著增加,GPA显著上升.
结论:
- 西班牙北部的AAV发病率高于西班牙南部,但低于北欧国家.
- 最近发现了AAV发病率的上升趋势,特别是GPA.
- 标准化标准提高了AAV流行病学数据的可靠性.
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