间歇性肺部疾病表型和预测性风险因素在初级Sjögren综合征
Gaetano La Rocca1, Francesco Ferro1, Gianluca Sambataro2,3
1Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126 Pisa, Italy.
Journal of clinical medicine
|August 29, 2024
概括
间歇性肺部疾病 (ILD) 影响9.1%的初级Sjögren患者.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 临床免疫学临床免疫学
背景情况:
- 间歇性肺部疾病 (ILD) 是一次性Sjögren综合征 (pSS) 的重要关注点,有着争论的流行率和危险因素.
- 与pSS相关的异质ILD表型使理解和管理变得复杂.
研究的目的:
- 确定单中心PSS队列中ILD的患病率和预测因素.
- 鉴别pSS-ILD的不同临床表型.
主要方法:
- 从474名pSS患者 (2019年1月至2023年9月) 的临床,实验室和成像数据的回顾性分析.
- 用于ILD确认的高分辨率计算机断层扫描 (HRCT).
- 统计分析包括对预测因素的单变量和多变量评估.
主要成果:
- 在pSS的整体ILD患病率为9.1% (43/474名患者).
- 与ILD发病患者相比,ILD发病患者在诊断时表现出更高的年龄和更严重的纤维化.
- 较高的ESSDAI分数和基线雷诺现象独立预测ILD发展.
结论:
- ILD是一种常见且异质的pSS表现.
- 在pSS发作时疾病活性升高是ILD的风险因素.
- 研究结果表明,免疫调节疗法对PSS的ILD预防有潜在的益处.
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