亚临床指甲炎与牛皮关节炎的活性表型有关
Zhibo Song1, Yan Geng1, Xiaohui Zhang1
1Department of Rheumatology and Clinical Immunology, Peking University First Hospital, No.8, Xishiku Street, West District, 100034 Beijing, China.
Joint bone spine
|September 26, 2024
概括
牛皮关节炎 (PsA) 中的亚临床牙炎表明一种更活跃的疾病表型. 对于患有亚临床指甲炎的患者,建议早期检测和潜在的积极治疗.
科学领域:
- 类风湿病学 类风湿病学
- 医疗成像医学成像
- 牛皮关节炎研究研究
背景情况:
- 牙炎是银病关节炎 (PsA) 预后较差的重要指标.
- 超声波成像可以检测亚临床指甲炎,但其临床意义尚不清楚.
研究的目的:
- 调查亚临床指甲炎对牛皮关节炎整体严重性的影响.
- 为了确定超声波检测到的牙炎,没有临床症状,与增加的PsA疾病活性相关.
主要方法:
- 使用了PKUPsA队列,包括手和脚的完整超声波评估的患者.
- 将223名PsA患者分为三组:临床指甲炎,亚临床指甲炎 (仅通过超声检测) 和没有指甲炎.
- 在定义的子组中比较临床特征和疾病活动指标.
主要成果:
- 在PSA患者中,亚临床牙炎在11.7%的患者中被发现.
- 临床和亚临床的甲状腺炎组与没有甲状腺炎组相比,都显示出更高的胀关节数,柔软关节数和DAPSA分数.
- 即使在排除受影响的手指之后,牙炎患者的胀关节数量显著增加,这表明疾病涉及范围更广.
结论:
- 亚临床指甲炎与更活跃的牛皮关节炎表型有关.
- 这些发现表明,亚临床指甲炎需要增加临床关注.
- 对于患有亚临床指甲炎的PsA患者,可能需要考虑更积极的治疗策略.
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