系统性硬化症患者贫血的患病率,原因和临床关联:一个队列研究
Benoit Gachet1,2,3, Mathieu Jouvray1,4, Vincent Koether1,5,6
1CHU Lille, Department of Internal Medicine and Clinical Immunology, Lille, France.
贫血常见于全身性硬化症,通常是由缺铁和胃肠道出血引起的. 贫血与更严重的疾病和这些患者的死亡率增加有关.
科学领域:
- 类风湿病学 类风湿病学
- 血液学 血液学 血液学
- 胃肠病学 胃肠病学
背景情况:
- 贫血是系统性硬化症严重程度的已知危险因素.
- 关于系统性硬化症患者贫血的发生频率和原因的数据有限.
- 了解贫血的作用对于管理系统性硬化症预后至关重要.
研究的目的:
- 确定系统性硬化症中贫血的发生频率和原因.
- 分析贫血系统性硬化症患者的临床和生物特征.
- 评估贫血和全身性硬化症预后之间的关联.
主要方法:
- 预期单中心研究 (2017年1月 - 2022年5月).
- 包括502名全身性硬化症患者,血红蛋白检测和病因检查.
- 在贫血和非贫血组之间比较临床/生物参数和生存率.
主要成果:
- 100/502名患者患有贫血;缺铁是主要原因 (40%).
- 在56%的铁缺乏性贫血患者中发现了胃肠道出血.
- 贫血与更高的疾病严重程度,更多的胃肠道症状,更差的肺功能和增加的死亡率相关 (HR 1.94).
结论:
- 系统性硬化症中贫血的高频率,主要是由于缺铁.
- 胃肠道探索是识别贫血患者出血的关键.
- 贫血意味着更严重的疾病和系统性硬化症的更差的预后.
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