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以西班牙裔和亚裔患者为主的多民族队列中类风湿关节炎的关节外表现

Extraarticular manifestations of rheumatoid arthritis in a multiethnic cohort of predominantly Hispanic and Asian patients.

作者信息

Richman Nicole C, Yazdany Jinoos, Graf Jonathan, Chernitskiy Vladimir, Imboden John B

机构信息

From Division of Rheumatology, Department of Medicine, University of California San Francisco, San Francisco, California.

出版信息

Medicine (Baltimore). 2013 Mar;92(2):92-97. doi: 10.1097/MD.0b013e318289ce01.

Abstract

We conducted a study to determine the prevalence of extraarticular manifestations (ExRA) in a cohort of predominantly Hispanic and Asian patients with rheumatoid arthritis (RA), to identify factors associated with the development of ExRA, and to compare the prevalence of ExRA between Hispanic and Asian patients. Patients with RA followed in the outpatient rheumatology clinics of a public hospital were included if they were aged ≥18 years and met the 1987 American College of Rheumatology criteria for the diagnosis of RA. We performed a cross-sectional analysis in which patients with ExRA were identified based on predefined criteria. We compared sociodemographic and clinical characteristics in patients with and without ExRA. Multivariate logistic regression was used to examine the association between sociodemographic variables, clinical characteristics, and the presence of ExRA. The prevalence of ExRA was 21.5%, and the most common manifestations were subcutaneous nodules (17.2%) and interstitial lung disease (3.6%). Hispanic patients were significantly more likely to develop ExRA than Asian patients (odds ratio, 2.53; 95% confidence interval, 1.26-5.09). The development of ExRA was also associated with disease duration, male sex, and seropositivity for serum rheumatoid factor.

摘要

我们开展了一项研究,以确定在以西班牙裔和亚裔为主的类风湿关节炎(RA)患者队列中关节外表现(ExRA)的患病率,识别与ExRA发生相关的因素,并比较西班牙裔和亚裔患者中ExRA的患病率。如果年龄≥18岁且符合1987年美国风湿病学会RA诊断标准,则纳入在一家公立医院门诊风湿病诊所就诊的RA患者。我们进行了一项横断面分析,根据预定义标准识别出有ExRA的患者。我们比较了有和没有ExRA患者的社会人口统计学和临床特征。采用多变量逻辑回归分析来研究社会人口统计学变量、临床特征与ExRA存在之间的关联。ExRA的患病率为21.5%,最常见的表现是皮下结节(17.2%)和间质性肺病(3.6%)。西班牙裔患者发生ExRA的可能性显著高于亚裔患者(比值比,2.53;95%置信区间,1.26 - 5.09)。ExRA的发生还与疾病持续时间、男性性别以及血清类风湿因子血清学阳性有关。

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本文引用的文献

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Extra-articular manifestations of rheumatoid arthritis: An update.类风湿关节炎的关节外表现:最新进展。
Autoimmun Rev. 2011 Dec;11(2):123-31. doi: 10.1016/j.autrev.2011.09.001. Epub 2011 Sep 10.
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