侵蚀性平坦:一个未满足的疾病负担
John H Macken1,2, Amal Senusi1, Edel A O'Toole3
1Centre for Oral Immunobiology and Regenerative Medicine, Faculty of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Frontiers in medicine
|November 1, 2024
概括
侵蚀性平坦 (ELP) 带来了独特的挑战,包括延迟诊断和增加的医疗需求,特别是在白人人口中. 早期教育和研究对于更好的管理和治疗结果至关重要.
科学领域:
- 口腔医学是指口腔医学.
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 侵蚀性平坦 (ELP) 是平坦的一个严重变体.
- 了解其人口和临床特征对于有效管理至关重要.
- 疾病表现和结果的种族差异需要调查.
研究的目的:
- 在多个种族中探索侵蚀性平坦 (ELP) 的人口和临床特征.
- 为了比较疾病的严重程度,进展和ELP与网状平 (RLP) 的结果.
主要方法:
- 一个纵向的回顾性队列研究.
- 涉及57名ELP患者和35名RLP患者,来自东伦敦多样化的患者.
- 比较临床特征,诊断时间和治疗反应.
主要成果:
- 在白人群体中,ELP的患病率更高,并且与延迟诊断有关 (RLP的中位数为452天,而RLP的中位数为312天).
- 在ELP患者中,多部位参与,牙科问题,抑郁症和痕 (55%) 更多,往往需要全身免疫抑制.
- 前吸烟者有较高的ELP风险,而目前吸烟者与RLP有关.
结论:
- 与RLP相比,ELP需要更长的诊断时间和三级护理,与RLP相比,对治疗的抵抗力更大.
- 患有ELP的患者的医疗和口腔健康需求增加,并且痕的风险更高.
- 需要加强对初级保健提供者的教育,并进一步研究ELP机制,以改善诊断和治疗方法.
相关概念视频
COPD: Pathogenesis and Clinical Features
235
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
235
Peptic Ulcer Disease I: Introduction
139
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
139
Antiasthma Drugs: Leukotriene Modifiers
246
Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
Leukotriene modifiers work through two distinct mechanisms:
246
Peptic Ulcer Disease IV: Management
74
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
74
Chronic Bowel Disorders: Introduction
390
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
390
Drugs for Treatment of Ulcerative Colitis in IBD
124
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
124


