常染色体隐性肢体肌萎缩症患者的临床进展模式:一项系统综述。

Q3 Medicine
Antoinette Cheung, Ivana F Audhya, Shelagh M Szabo, Michael Friesen, Conrad C Weihl, Katherine L Gooch
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引用次数: 0

摘要

目的:由于常染色体隐性肢体带状肌营养不良症(LGMDR)的临床病程变化很大,本研究以不同亚型(LGMDR1、LGMDR2、LGMDR3-6、LGMDR9、LGMDR12)的患者为研究对象,分析其丧失活动能力(LOA)的频率,以及LOA患者和非LOA患者进展到心脏和呼吸系统受累的情况。方法:系统文献复习。结果:从筛选的2929篇摘要中,418例患者被确定为具有活动状态数据(LOA: 265[63.4%])。142例患者报告心脏和/或呼吸功能(34.0%;都是LOA)。其中,LGMDR3-6的呼吸受累最为常见(74.1%);平均[SD]年龄23.9[11.0]岁)和心脏在LGMDR9 (73.3%;平均[SD]年龄23.7[17.7]岁)。除了LGMDR9(71.4%呼吸系统和52.4%心脏)外,无LOA患者的受累较少。结论:本研究描述了LGMDR中LOA、心脏和呼吸受累的共同发生,并为LGMDR的临床进展提供了更好的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patterns of Clinical Progression Among Patients With Autosomal Recessive Limb-Girdle Muscular Dystrophy: A Systematic Review.

Objectives: As the clinical course of autosomal recessive limb-girdle muscular dystrophy (LGMDR) is highly variable, this study characterized the frequency of loss of ambulation (LOA) among patients by subtype (LGMDR1, LGMDR2, LGMDR3-6, LGMDR9, LGMDR12) and progression to cardiac and respiratory involvement among those with and without LOA.

Methods: Systematic literature review.

Results: From 2929 abstracts screened, 418 patients were identified with ambulatory status data (LOA: 265 [63.4%]). Cardiac and/or respiratory function was reported for 142 patients (34.0%; all with LOA). Among these, respiratory involvement was most frequent in LGMDR3-6 (74.1%; mean [SD] age 23.9 [11.0] years) and cardiac in LGMDR9 (73.3%; mean [SD] age 23.7 [17.7] years). Involvement was less common in patients without LOA except in LGMDR9 (71.4% respiratory and 52.4% cardiac).

Conclusions: This study described the co-occurrence of LOA, cardiac, and respiratory involvement in LGMDR and provides greater understanding of the clinical progression of LGMDR.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
64
期刊介绍: Journal of Clinical Neuromuscular Disease provides original articles of interest to physicians who treat patients with neuromuscular diseases, including disorders of the motor neuron, peripheral nerves, neuromuscular junction, muscle, and autonomic nervous system. Each issue highlights the most advanced and successful approaches to diagnosis, functional assessment, surgical intervention, pharmacologic treatment, rehabilitation, and more.
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