ARP Rheumatology最新文献_第5页

Preconception counseling impact in pregnancy outcomes in patients with spondyloarthritis. 孕前咨询对脊柱关节炎患者妊娠结局的影响。

IF 1.4 4区医学

ARP Rheumatology Pub Date : 2024-04-01

Tiago Beirão, Rafaela Nicolau, Inês Santos, Francisca Guimarães, Francisca Aguiar, Sara Ganhão, Mariana Rodrigues, Nádia Martins, Anabela Rocha, Sofia Monteiro, Iva Brito

{"title":"Preconception counseling impact in pregnancy outcomes in patients with spondyloarthritis.","authors":"Tiago Beirão, Rafaela Nicolau, Inês Santos, Francisca Guimarães, Francisca Aguiar, Sara Ganhão, Mariana Rodrigues, Nádia Martins, Anabela Rocha, Sofia Monteiro, Iva Brito","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Spondyloarthritis (SpA) is a group of chronic inflammatory diseases, often affecting women in reproductive age. These diseases can have a significant impact on the reproductive health of women. Preconception counseling and medication adjustments have shown to reduce flares and improve pregnancy outcomes in women with rheumatoid arthritis. However, in women with SpA data of the impact of preconception counselling on pregnancy outcomes is scarce. The aim of this study is to evaluate that.Methods: In this retrospective multicentric study, data was collected from medical records of women who gave birth from 2020 to 2022. The study included 45 pregnancies, which were divided into two categories whether they received preconception consultation or not. Data was collected on patient characteristics, disease duration, medications used, and preconception counselling. Outcomes were divided into two groups: maternal and fetal outcomes.Results: 30 out of 45 pregnancies (66.67%) had received preconception counselling, having a significantly lower percentage of flares occurring postpartum compared to the non-counselling group (36.6% vs 6.4%, p=0.031) and lower percentage of contraindicated medication during pregnancy (20.0 vs 0.0%, p=0.011).Conclusion: Preconception counselling in women with SpA can increase the likelihood of medication adjustments before pregnancy and decrease the occurrence of flares postpartum. These findings suggest that preconception counselling should be implemented in the management of pregnant women with SpA to improve pregnancy outcomes. Further studies are needed to confirm the effectiveness of preconception counselling and to determine the optimal approach.","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":"3 2","pages":"106-110"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can subcutaneous treprostinil be an alternative for treating pulmonary hypertension in patients with systemic sclerosis-related interstitial lung disease? 皮下注射曲普瑞替尼能否成为治疗系统性硬化症相关间质性肺病患者肺动脉高压的替代方法？

4区医学

ARP Rheumatology Pub Date : 2024-02-13

Ana Catarina Duarte, Sofia Alegria, Filipe Vinagre, Filipa Ferreira, Ana Cordeiro

引用次数: 0

Detection of subclinical enthesitis by ultrasonography in patients with psoriasis and controls. 通过超声波检查发现银屑病患者和对照组的亚临床关节炎。

4区医学

ARP Rheumatology Pub Date : 2024-01-01 Epub Date: 2024-01-04 DOI: 10.63032/UNBM9076

Duygu Silte Karamanlioglu, Feyza Unlu Ozkan, Eylem Emel Ceren Arıkan, Betul Zehra Pirdal, Gulcan Ozturk, Ilknur Aktas

{"title":"Detection of subclinical enthesitis by ultrasonography in patients with psoriasis and controls.","authors":"Duygu Silte Karamanlioglu, Feyza Unlu Ozkan, Eylem Emel Ceren Arıkan, Betul Zehra Pirdal, Gulcan Ozturk, Ilknur Aktas","doi":"10.63032/UNBM9076","DOIUrl":"10.63032/UNBM9076","url":null,"abstract":"Introduction: Psoriasis is a widespread chronic inflammatory skin disease; enthesitis is inflammation of the tendon, ligament, and joint capsule insertion, prevalent in patients with psoriatic arthritis.Objectives: The aim of study to evaluate the utility of the Madrid Sonography Enthesitis Index scoring system for accurate detection of subclinical enthesitis in patients with Psoriasis compared with healthy controls. Another objective was to assess increase in enthesis area and Psoriatic arthritis incidence, in a prospective 1-year follow-up.Method: Patients aged ≥18 years who were diagnosed with Psoriasis, without musculoskeletal complaints, and who did not have any clinical sign and/or symptom of enthesitis and synovitis were included in the study. The patients and healthy controls were evaluated with ultrasonography. Ultrasonography evaluation consisted of the detection of gray-scale enthesitis and power Doppler signal in the enthesis areas. The Madrid Sonography Enthesitis Index scoring system was used to quantify the extent of the sonographic enthesis abnormalities.Results: The mean MASEI score, structure, thickness, erosion, and calcification were significantly higher in the Psoriasis group than in the control group. The mean MASEI score, structure, erosion, and calcification measurements were significantly higher at the last examination when compared to the first examination. The triceps was the most commonly affected tendon in both groups.Conclusion: Ultrasonography is an important tool for diagnosis and follow-up of subclinical enthesitis in patients with psoriasis. Regardless of disease duration and severity, patients should be screened using ultrasonography at yearly intervals.","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":" ","pages":"29-39"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of the new PRINTO classification criteria for juvenile idiopathic arthritis in a sample of Portuguese patients. 新的 PRINTO 幼年特发性关节炎分类标准在葡萄牙患者样本中的应用。

4区医学

ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/JXND6393

Sara Catarino, Joana Nunes, Sara Ganhão, Francisca Aguiar, Mariana Rodrigues, Iva Brito

{"title":"Application of the new PRINTO classification criteria for juvenile idiopathic arthritis in a sample of Portuguese patients.","authors":"Sara Catarino, Joana Nunes, Sara Ganhão, Francisca Aguiar, Mariana Rodrigues, Iva Brito","doi":"10.63032/JXND6393","DOIUrl":"10.63032/JXND6393","url":null,"abstract":"Background: The International League of Associations for Rheumatology (ILAR) classification system for juvenile idiopathic arthritis (JIA) does not depict homogenous subgroups of disease. As to unify our language with the adult rheumatic diseases, the Pediatric Rheumatology International Trials Organization (PRINTO) is attempting to revise these criteria.Objective: To reclassify a JIA sample according to the new provisional PRINTO subsets: systemic JIA (sJIA), RF-positive JIA (RF-JIA), early-onset ANA-positive JIA (eoANA-JIA), enthesitis/spondylitis-related JIA (ESR-JIA), \"other JIA\" and \"unclassified JIA\".Methods: Retrospective study including JIA patients followed in a Pediatric Rheumatology Unit at a university hospital. Medical records were reviewed, and patients were reclassified as per the provisional PRINTO criteria.Results: Of a total of 104 patients, 41 (39.4%) were reclassified as \"other JIA\", 36 (34.6%) as eoANA-JIA, 15 (14.4%) as ESR-JIA, 8 (7.7%) as sJIA and 4 (3.8%) as RF-JIA. More than 90% of the oligoarticular JIA were reclassified into either eoANA-JIA or \"other JIA\". Only one negative RF polyarticular JIA converted to RF-JIA due to the presence of a positive anti-citrulinated peptide antibody (ACPA). The psoriatic arthritis (PsA) subgroup disappeared into eoANA-JIA (25%), ESR-JIA (25%) or \"other JIA\" (50%). There were significant differences in age of onset, but not on the gender ratio or uveitis presence. Antinuclear antibody was more frequent in females (p=0.035) and younger patients (p<0.001).Conclusion: The number of affected joints and PsA features elapsed in favour of laboratory RF, ACPA and ANA traits. PsA and oligoarticular JIA were abolished. The \"other JIA\" entity is heterogenous and prevalent, claiming reformulation.","PeriodicalId":29669,"journal":{"name":"ARP Rheumatology","volume":"3 1","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound ability in early diagnosis of metatarsal stress fractures. 超声波在早期诊断跖骨应力性骨折方面的能力。

4区医学

ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/ZFCT7949

Augusto Silva, Tomás Fontes, João Eurico Fonseca, Fernando Saraiva

引用次数: 0

Intestinal (pseudo-)obstruction and hydronephrosis - consider lupus. 肠（假）梗阻和肾积水--考虑狼疮。

4区医学

ARP Rheumatology Pub Date : 2024-01-01 DOI: 10.63032/HIIJ8275

Agnieszka Foryś, Jakub Wroński, Mateusz Płaza, Małgorzata Wisłowska

引用次数: 0

Lupus nephritis outcomes - is the picture changing? 狼疮性肾炎的预后--情况是否正在发生变化？