炎性肌炎包括重叠性肌炎、单纯皮肌炎和单纯多发性肌炎患者的甲襞毛细血管镜检查随疾病活动度的变化

IF 1.4 Q3 RHEUMATOLOGY
S. Shenavandeh, F. Rashidi
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引用次数: 2

摘要

目的甲襞毛细血管镜检查(NFC)在结缔组织疾病诊断中的应用价值。根据2017年欧洲抗风湿病联盟/美国风湿病学会(EULAR/ACR)分类,特发性炎症性肌病(IIMs)患者很少进行毛细血管镜检查。我们使用两种分类方法评估IIMs患者的临床、实验室和NFC。材料和方法在本横断面研究中,根据EULAR/ACR分类和Troyanov和sensamucal分类选择了150例IIMs患者。甲襞毛细血管镜检查、实验室检查、临床表现和疾病活动度进行评估。结果:皮肌炎(DM) 81例,肌萎缩性皮肌炎(ADM) 25例,幼年皮肌炎(JDM) 25例,多发性肌炎(PM) 19例,单纯DM 53例,单纯PM 11例,重叠性肌炎(OM) 51例。PM患者8例(42%),DM患者28例(34.5%)为OM。在DM(72.8%)、JDM(72%)、ADM(76%)、纯DM(75.4%)和OM(78.4%)亚组中,硬皮病模式是主要的毛细血管镜模式。在DM、ADM、JDM和OM亚组中,硬皮病类型与高皮肤视觉模拟评分(VAS)呈正相关(p < 0.05)。在OM患者中,硬皮病类型与高全局VAS之间也存在相关性(p < 0.05)。结论除PM和纯PM外,其余各组均以硬皮病型为主。部分PM患者可归类为OM。在糖尿病和纯糖尿病亚组中,整体和皮肤活动与较高的NFC评分之间存在显著关联。将NFC添加到IIM的分类中可能有助于更详细的分类。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nailfold capillaroscopy changes with disease activity in patients with inflammatory myositis including overlap myositis, pure dermatomyositis, and pure polymyositis
Objectives Nailfold capillaroscopy (NFC) is useful in the evaluation of connective tissue diseases. There are few capillaroscopy examinations in patients with idiopathic inflammatory myopathies (IIMs) using the 2017 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification. We evaluated the clinical, laboratory, and NFC in patients with IIMs using 2 classifications. Material and methods In this cross-sectional study, 150 patients with IIMs were selected based on the EULAR/ACR classification and the Troyanov and Senécal classification. Nailfold capillaroscopy, laboratory tests, clinical manifestations, and disease activity were evaluated. Results The subgroups were as follows: 81 patient with dermatomyositis (DM), 25 with amyopathic dermatomyositis (ADM), 25 with juvenile dermatomyositis (JDM), 19 with polymyositis (PM),53 with pure DM, 11 with pure PM, and 51 with overlap myositis (OM). Eight (42%) patients with PM and 28 (34.5%) patients with DM were categorized as OM. The scleroderma pattern was the dominant capillaroscopy pattern in the DM (72.8%), JDM (72%), ADM (76%), pure DM (75.4%), and OM (78.4%) subgroups, respectively. In the DM, ADM, JDM, and OM subgroups, scleroderma pattern had an association with high skin Visual Analogue Scale (VAS) score (p < 0.05). In OM patients, the association between scleroderma pattern and high global VAS was also detected (p < 0.05). Conclusions The scleroderma pattern was the dominant capillaroscopy pattern in all groups except for PM and pure PM. Some of patients with PM could be categorized as OM. In the DM and pure DM subgroups, there was a significant association between global and skin activity and higher NFC score. Adding the NFC to the classification of IIM is probably helpful in more detailed classifications.
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来源期刊
Reumatologia
Reumatologia Medicine-Rheumatology
CiteScore
2.70
自引率
0.00%
发文量
44
审稿时长
10 weeks
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