在青年发作的全身性红血性狼中发生的内分泌和代谢并发症
Su Jin Park1, Moon Bae Ahn1, Dae Chul Jeong2
1Division of Endocrinology, Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
青春期开始的全身性红斑狼 (JSLE) 患者经常经历内分泌和代谢问题. 监测这些并发症和预防肥胖对于管理JSLE患者至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
背景情况:
- 幼年发病的系统性红斑狼 (JSLE) 是一种严重的自身免疫性疾病,影响18岁以下的个体的多个系统.
- 与成人发病的SLE患者相比,JSLE患者经常面临更严重的疾病进展.
研究的目的:
- 为了确定JSLE患者内分泌和代谢并发症的患病率.
- 为了确定与JSLE.com的这些并发症相关的因素.
主要方法:
- 收集的人类测量,临床和实验室数据.
- 有记录的葡萄皮质激素和疾病修饰性抗风湿药物 (DMARD) 的使用.
主要成果:
- 在57名JSLE患者中,64.9%患有内分泌/代谢并发症.
- 普遍存在的疾病包括脂质障碍症 (40.4%),超重/肥胖 (26.3%),亚临床甲状腺功能低下 (24.6%),自身免疫性甲状腺疾病 (AITD) (21.1%) 和低骨质量 (20.9%).
- 肥胖/超重与脂质障碍和AITD相关;与超重/肥胖相关的皮肤干扰和射频阳性;与低骨质量相关的年轻年龄和更长时间的GC使用.
结论:
- 患有JSLE患者的内分泌和代谢并发症负担很高,需要进行常规监测.
- 预防肥胖可能会降低JSLE中这些并发症的风险.
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