患有类风湿性关节炎的患者的远端间关节干扰:我们在哪里?
Mete Pekdiker1, Sertaç Ketenci2, Gökhan Sargin3
1Department of Rheumatology-Internal Medicine, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkiye.
Turkish journal of medical sciences
|September 19, 2024
概括
远端间关节 (DIP) 侵蚀发生在12%的类风湿性关节炎 (RA) 患者中,通常影响第三个手指. 年龄较大和疾病持续时间较长与RA中DIP侵蚀有关.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 临床医学 临床医学
背景情况:
- 类风湿性关节炎 (RA) 通常会影响手部的特定关节.
- 远端间关节 (DIP) 关节的参与不那么典型,但在RA患者中可能发生.
- 了解DIP在RA中的共同参与对于全面的患者评估至关重要.
研究的目的:
- 为了确定远端间关节 (DIP) 侵蚀在类风湿性关节炎 (RA) 患者的频率.
- 为了确定与RA中DIP关节侵蚀相关的因素.
- 提供关于共同参与RA的模式的见解.
主要方法:
- 对1213名RA患者的医疗记录进行了回顾性审查.
- 排除其他相关关节疾病或创伤的患者.
- 对手前后部X射线的评估,并根据自身抗体概况进行分组.
主要成果:
- 在RA队列中观察到12%的远端间关节 (DIP) 侵蚀率.
- DIP侵蚀通常是单边和不对称的,最常影响的是第三个手指.
- 较长的疾病持续时间和更长的年龄与DIP侵蚀有显著的关联.
结论:
- 远端间关节 (DIP) 关节的参与是类风湿性关节炎 (RA) 患者的一个子集的显着特征.
- 高龄是RA中DIP关节侵蚀的独立预测因素.
- 这些发现为RA中联合表现的频谱提供了更广泛的视角.
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