同时存在的管间炎症和损伤是狼性炎患者慢性病的危险因素
Hyemin Jeong1, Sung-Eun Choi1, Ji-Hyoun Kang1
1Division of Rheumatology, Department of Internal Medicine, Chonnam National University Medical School and Hospital, Gwangju, Republic of Korea.
International journal of rheumatic diseases
|December 6, 2024
概括
狼性炎患者同时存在的管间炎症和损伤显著预测慢性病的进展. 这一发现突显了狼性炎中长期功能下降的关键风险因素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 狼性炎 (LN) 是系统性红斑狼的一个严重表现.
- 预测慢性病 (CKD) 在LN的进展对于患者管理至关重要.
研究的目的:
- 调查是否同时发生的管间炎症 (TII) 和管间损伤 (TID) 预测LN患者的CKD进展.
主要方法:
- 分析了175名LN患者的脏活检数据.
- 根据TII/TID的存在而分为不同组的分层.
- 使用Cox比例危险回归模型来识别风险因素.
主要成果:
- 110名 (62.9%) 患者同时存在TII/TID.
- 患有TII/TID的患者年龄较大,ESR高,蛋白尿和EGFR/血红蛋白较低.
- 同时存在的TII/TID与显著更高的CKD进展风险相关 (aHR为2.667).
结论:
- 在LN发病时同时存在的TII/TID表明功能恶化的风险增加.
- 这预测了狼性炎患者的长期CKD发展.
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