儿童IgA血管炎的可能威胁:一个中心的经验
Eglė Lanzbergaitė-Manuilova1, Skirmantė Rusonienė1, Augustina Jankauskienė1
1Pediatric Center, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Acta medica Lituanica
|March 10, 2025
概括
儿童免疫球蛋白A血管炎 (IgAV) 通常涉及胃肠道,年龄较大增加脏参与的风险. 像中性粒细胞与淋巴细胞比率 (NLR) 和血小板与淋巴细胞比率 (PLR) 这样的实验室标志物可以预测胃肠道问题,但不能预测脏并发症.
科学领域:
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 免疫球蛋白A血管炎 (IgAV) 是最常见的儿童血管炎.
- 虽然IgAV通常是自我限制的,但可以导致严重的胃肠道 (GI) 和脏并发症.
研究的目的:
- 为了确定儿童IgAV的发病率,临床特征和结果.
- 为了确定GI和脏参与IgAV的实验室预测因素.
主要方法:
- 在2013-2021年间诊断的240名儿科IgAV患者的回顾性分析.
- 对人口统计,临床和实验室数据的评估,包括中性细胞,淋巴细胞,血小板数,MPV,NLR和PLR.
- 评估胃肠道和脏干扰的发生率和相关因素.
主要成果:
- 胃肠道干扰发生在43.3%的患者中;脏干扰发生在8.8%的患者中.
- 年龄较大与脏参与率较高有关 (OR 3.5).
- 较高的中性粒细胞,淋巴细胞计数,NLR和PLR与肠道干扰有关,但与脏干扰无关.
结论:
- 患有IgAV的老年儿童面临更大的病风险.
- NLR和PLR可能有助于早期预测胃肠道疾病,但对脏并发症缺乏预测价值.
- 在这个队列中没有观察到致命的结局或慢性病,尽管4.6%的人患有需要活检的IgAV炎.
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