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轴性脊髓关节炎中关节外表现的负担:摩洛哥单中心研究
Khaoula Tahir1, Nessrine Akasbi1, Imane El Mezouar1
1Rheumatology Department, Hassan II University Medical Center Fez, Faculty of Medicine and Pharmacy and Dentistry of Fez, University Sidi Mohammed Ben Abdellah, Fez, Morocco.
Musculoskeletal care
|March 27, 2025
概括
像IBD和AAU这样的关节外表现 (EAM) 在轴性脊柱关节炎 (axSpA) 中很常见. EAMs显著恶化疾病特征和患者报告的结果,强调它们在axSpA管理中的重要性.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 临床医学 临床医学
背景情况:
- 轴性脊椎关节炎 (axSpA) 是一种慢性炎症性疾病,其特征是不同的临床表现.
- 关节外表现 (EAMs),包括急性前膜炎 (AAU),炎症性肠病 (IBD) 和牛皮,在axSpA患者中很常见.
研究的目的:
- 评估EAM对axSpA患者疾病特征和临床结果的影响.
- 确定与axSpA.中EAM存在相关的因素.
主要方法:
- 一项涉及400名根据ASAS 2009标准诊断的axSpA患者的横截面研究.
- 在12年的时间里,axSpA患者与没有EAM之间的疾病特征的比较.
主要成果:
- 在 axSpA 患者中,有30.3%的人患有EAM,其中IBD (18.5%) 和AAU (12.5%) 是最常见的.
- 患有EMS的患者表现出更长的疾病持续时间,增加脊柱疼痛和硬,更高的疾病活性和更差的身体功能.
- 身体功能恶化 (BASFI) 被确定为与EMS相关的主要独立因素.
结论:
- EAMs,特别是IBD和AAU,在axSpA中普遍存在,并显著影响临床结果.
- 在axSpA患者的综合管理中,EMS的存在需要仔细考虑.
- 了解EAM的影响对于改善患者报告的措施和axSpA的整体疾病管理至关重要.
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