指甲牛皮的临床和超声波评估:一项全面的研究
Maria Esposito1, Lina Maria Magnanimi1, Paolo Antonetti1
1Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Dermatology practical & conceptual
|August 12, 2025
概括
斑块牛皮患有指甲牛皮的患者显示牛皮关节炎的患病率更高. 超声波有助于评估指甲损伤及其与牛皮关节炎进展的联系.
科学领域:
- 皮肤病学和风湿病学
- 医疗成像医学成像
- 临床研究 临床研究
背景情况:
- 斑块性牛皮 (PsO) 进展为牛皮性关节炎 (PsA) 会增加残疾.
- 指甲牛皮 (NP) 影响高达90%的PsO患者,并预测肠炎和早期的PsA.
研究的目的:
- 在PsO患者中临床和超声波评估指甲单位.
- 为了比较PsO患者的指甲单位特征,包括有或没有PsA,有或没有皮病.
主要方法:
- 60名患者 (23 PsO, 37 PsO+PsA) 接受了指甲单位的高频超声波 (HFUS).
- 使用NAPSI和BUNES (形态测量,功率多普勒) 评估的指甲异常.
- 横截面,单中心研究设计.
主要成果:
- 71.7%的患者出现了指甲牛皮.
- 在PSO+PsA患者 (69.7%) 和PSO患者 (30.3%) (P=0.04) 中,指甲牛皮的患病率更高.
- HFUS显示了各种指甲和血流变化;中位数NAPSI 16,中位数BUNES形态测量1.5,中位数BUNES PD 2.2.
结论:
- 指甲牛皮在PsO患者中很常见,并与PsA相关.
- 超声波对于评估PsO和PsA的指甲损伤非常有价值.
- 皮肤科医生和风湿病学家之间的合作对于全面的患者评估至关重要.
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