超声波和疾病活动发现与JIA的药物变化有关:历史的队列研究
Ysabella Esteban1, Pinar Ozge Avar-Aydin2, Tracy V Ting2
1From the Division of Rheumatology, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH.
概括
在青少年异常性关节炎 (JIA) 中的肌肉骨超声波 (MSUS) 显示,在药物改变的患者中,膝盖的异常发现. 然而,MSUS与整体疾病活动或其他关节参与没有强烈的相关性.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 医疗成像医学成像
- 炎症性关节炎是什么
背景情况:
- 肌肉骨超声波 (MSUS) 是评估儿科炎症性关节炎的一个不断增长的工具.
- 了解MSUS发现与青少年异常性关节炎 (JIA) 治疗决策之间的联系至关重要.
研究的目的:
- 调查MSUS发现与JIA患者药物修改之间的关联.
- 为了将MSUS结果与临床疾病活性指标 (如cJADAS-10,AJC,PPGA和PGA) 相关联.
主要方法:
- 在57个月的时间里,对JIA患者进行了12项联合MSUS检查.
- 患者被分为改变药物和控制组.
- 一个儿科MSUS评分系统评估了发现,并分析了与临床数据的关联.
主要成果:
- 改变药物的组 (n=23) 与对照组 (n=15) 相比,显示出更高的AJC,PGA和cJADAS-10.
- 在改变药物组的膝关节中,异常的MSUS发现明显更频繁.
- 除了膝盖外,MSUS发现和临床疾病活动得分之间没有强烈的相关性.
结论:
- 异常的MSUS发现主要与JIA患者的膝盖参与有关,这些患者正在改变药物治疗.
- 需要进一步的纵向研究来澄清MSUS在指导JIA治疗决策中的作用.
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