轴性牛皮关节炎:一个不断发展的概念
1Division of Rheumatology, Department of Medicine, University of Toronto and Schroeder Arthritis Institute, University Health Network, Toronto, Canada; Department of Gastroenterology, Infectiology and Rheumatology (including Nutrition Medicine), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Rheumatic diseases clinics of North America
|July 18, 2025
概括
轴性牛皮关节炎 (PsA) 被认为是PsA的一个独特形式. 本综述涵盖了它的流行病学,病理生理学,诊断和治疗,解决当前的挑战和先进的治疗方法.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 轴性牛皮关节炎 (PsA) 越来越多地被视为牛皮关节炎的独特表型.
- 了解其独特的特性对于有效的患者管理至关重要.
研究的目的:
- 审查轴向PSA最近的进展和正在进行的争议.
- 讨论诊断和治疗轴性PSA的挑战.
- 为了提供证据,在轴性PSA的先进疗法.
主要方法:
- 关于轴性PSA最近研究的文献综述.
- 对流行病学数据的分析.
- 评估当前的诊断和治疗策略.
- 对生物和向合成疗法的证据审查.
主要成果:
- 诊断的不确定性仍然存在,特别是与共存的牛皮.
- 缺少轴向PSA的标准化分类标准和结果措施.
- 有证据支持使用IL-17,JAK和IL-23抑制剂.
结论:
- 轴性PsA需要进一步的研究来完善诊断标准和结果措施.
- 先进的疗法显示为管理轴性PSA有前途.
- 承认轴性PsA作为一个独特的表型影响临床实践.
相关概念视频
Peripheral Artery Disease I: Introduction
34
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
34
Atherosclerosis I: Introduction
89
Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
89
Genome-wide Association Studies-GWAS
14.3K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
14.3K
Pericarditis I: Introduction
24
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
24
Atherosclerosis III: Management
36
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
36
Rheumatic Heart Disease I: Introduction
46
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
46


