诊断时的年龄作为青少年异常性关节炎的选择类别的预后因素
Anna-Kaisa Tuomi1,2, Katariina Rebane3,2, Ellen Arnstad4,5
1New Children's Hospital, Pediatric Research Center, HUS Helsinki University Hospital, Helsinki, Uusimaa, Finland tuomi.annakaisa@gmail.com.
RMD open
|June 11, 2025
概括
早期诊断青少年异常性关节炎 (JIA) 影响长期缓解. 诊断时年轻的年龄改善了小关节炎的缓解,但并非所有血清阴性多关节炎病例,尤其是女性.
科学领域:
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
- 临床免疫学临床免疫学
背景情况:
- 青少年异常性关节炎 (JIA) 发病年龄会影响疾病的发展.
- 了解与年龄相关的缓解预测因素对于JIA管理至关重要.
研究的目的:
- 确定诊断时的年龄如何影响JIA的长期缓解.
- 在JIA缓解预测中分析年龄作为连续变量.
主要方法:
- 分析了来自北欧JIA队列研究的358名患者.
- 诊断时的年龄被持续评估,并分为年龄组 (<3,3-5,>6岁).
- 数据包括疾病活动,脑膜炎,实验室,在6个月后的药物,在17.5年后的结果.
主要成果:
- 诊断时的年龄预测了橄关节炎和血清阴性多关节炎的缓解.
- 较早的诊断 (<3年) 显示,小关节炎的缓解率更高,但并非所有女性血清阴性多关节炎患者.
- 诊断时的年龄没有显著影响HRQoL或功能能力.
结论:
- 诊断时的年龄与Oligoarthritis JIA的长期缓解相反相关.
- 诊断时的年龄与JIA的血清阴性多关节炎的长期缓解有关,特别是在女性中.
相关概念视频
The JAK-STAT Signaling Pathway
8.7K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.7K
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Autoimmune Disorders
398
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
398
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Inflammatory Bowel Disease II: Crohn's Disease
205
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
205


