青少年和成人自身免疫性炎症性肌肉病之间的年龄相关差异
Melike Mehveş Kaplan1, Zahide Ekici Tekin1, Elif Çelikel1
1From the Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Bilkent, Ankara, Turkey.
概括
自免疫性炎症性肌肉病变 (AIMs) 在儿童和成年人中呈现不同. 青少年AIM表现出明显的特征,如Gottron斑块,而成人AIM具有更高的肺部参与和恶性瘤的风险.
科学领域:
- 类风湿病学 类风湿病学
- 儿科风湿病学 儿科风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 自身免疫性炎症性肌肉病变 (AIMs) 根据发病年龄表现出不同的临床特征和预后.
- 了解青少年和成人AIM之间的差异对于量身定制的管理至关重要.
研究的目的:
- 为了比较青少年和成人AIM患者的人口特征,临床表现,实验室发现和长期结果.
- 识别AIM呈现和进展中的特定年龄模式.
主要方法:
- 在2009年至2023年期间诊断的94名AIM患者的回顾性医疗记录审查.
- 在青少年和成人队列之间对人口统计,临床,实验室,治疗和预后数据进行统计比较.
主要成果:
- 青少年AIM (36.2%) 呈现了Gottron斑块,失声症和;成年AIM (63.8%) 更经常出现发烧.
- 成年人显示出更高的肺部参与率和恶性瘤,而青少年则有更多的.
- 青少年患者需要更多的甲基普雷迪尼索隆脉冲治疗,并且获得了更多临床不活跃的疾病.
结论:
- 发病时的年龄显著影响了自身免疫性炎症性肌肉病变的临床表型和预后.
- 在AIM中,随着年龄的增长,肺部参与和恶性瘤的风险会增加,而实现非活性疾病的可能性会降低.
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