患有X链接上腺瘤缩症的女性患者的疾病负担
Natalie R Grant1, Yedda Li1,2, Lizbeth De La Rosa Abreu1
1Department of Neurology, Massachusetts General Hospital, Boston.
Neurology
|February 7, 2025
概括
患有X链 adrenoleukodystrophy (ALD) 的女性患者经历了显著的神经症状,精神健康问题和医疗保健接入障碍. 他们的疾病过程往往不清楚,导致诊断延迟,生活质量降低.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 遗传学 是一个
- 内分泌学 在内分泌学.
背景情况:
- 与X相关的 adrenoleukodystrophy (ALD) 是一种神经退行性疾病,主要影响男性.
- 成年女性ALD患者的疾病过程和症状负担尚不清楚.
研究的目的:
- 为了描述ALD的成年女性个体的疾病负担.
- 确定医疗保健获取障碍和对这一群体的生活质量影响的障碍.
主要方法:
- 进行了回顾性图表审查和前性电话采访.
- 关于症状,干预,伤害,并发症和生活质量的数据从127名女性ALD患者中收集.
- 包括82名成年男性ALD患者的比较队列.
主要成果:
- 91%的女性患者报告了神经症状,包括尿路问题 (74%),行走困难 (66%) 和性 (65%).
- 64%的女性报告了心理健康症状,55%的女性报告了跌倒,43%的女性报告了骨折.
- 女性患者的诊断时间比男性晚,在获得医疗保健方面面临挑战,90%的人报告有困难,86%的人生活质量下降.
结论:
- 患有ALD的女性个体经历了骨髓病变,神经病变和心理健康问题的重大疾病负担.
- 获得医疗保健的障碍和诸如伤害等并发症加剧了疾病的影响.
- 延迟诊断和误诊是女性ALD患者面临的常见挑战.
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