肝纤维化4评分:用于评估银屑病关节炎患者的非酒精性脂肪性肝病

Carlota Iñiguez Ubiaga , Carlos García Porrúa , José Antonio Pinto Tasende , Lorena Paula Iñiguez Ubiaga , Amalia Sánchez-Andrade Fernandez
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引用次数: 0

摘要

目的描述非酒精性脂肪肝(NAFLD)的患病率、FIB4与超声检查结果之间的关系以及银屑病关节炎患者的临床特征。材料和方法我们对2020年1月1日至2020年11月30日在门诊就诊的银屑病关节炎患者进行了一项观察性横断面研究。结果90例患者中,NAFLD患病率为56.67%,FIB4与超声检查结果相关(p = .030),无附着点炎(p = .036)和较长的疾病持续时间(Rho.213 p = .042)。它也与高血压有关(p = .027)和饮酒量(p = .021)。然而,生物处理可以被认为是一种保护因素(p = .005)。FIB4作为NAFLD的预测因子,其敏感性为69.2%,特异性为70.4%。结论NAFLD在我们的样本中的患病率高于标准人群。FIB4指数在临床实践中可能有助于筛选银屑病关节炎的无症状肝损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Liver fibrosis 4 score: Use in the evaluation of non-alcoholic fatty liver disease in patients with psoriatic arthritis

Objectives

To describe the prevalence of non-alcoholic fatty liver disease (NAFLD), the association between FIB4 and ultrasound findings, and the clinical characteristics of psoriatic arthritis patients.

Material and methods

We carried out an observational cross-sectional study of patients seen in the outpatient clinic from January 1st, 2020, to November 30th, 2020, with psoriatic arthritis.

Results

Of the 90 patients studied, the prevalence of NAFLD was 56.67%. FIB4 presents an association with ultrasound findings (p = .030), the absence of enthesitis (p = .036), and longer duration of disease (Rho .213 p = .042). It also presents an association with hypertension (p = .027) and alcohol consumption (p = .021). However, biological treatment can be considered as a protective factor (p = .005). FIB4 acts as a NAFLD predictor with 69.2% sensitivity and 70.4% specificity.

Conclusions

The prevalence of NAFLD was higher in our sample than in the standard population. FIB4 index may be useful in screening for silent liver damage in psoriatic arthritis in clinical practice.

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