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[类风湿关节炎合并症的性别特异性差异]

[Gender-specific differences in comorbidities of rheumatoid arthritis].

作者信息

Albrecht K

机构信息

Programmbereich Epidemiologie, Deutsches Rheuma-Forschungszentrum Berlin, Charitéplatz 1, 10117, Berlin, Deutschland,

出版信息

Z Rheumatol. 2014 Sep;73(7):607-14. doi: 10.1007/s00393-014-1410-3.

Abstract

BACKGROUND

Comorbidities play an important role in the course and therapy of rheumatoid arthritis (RA). Sex-specific aspects are observed with regard to prevalence and manifestation of RA-related comorbidities.

AIM

A summary of current insights into sex and gender-related aspects of frequent comorbidities in RA is given.

MATERIAL AND METHODS

National data were analyzed and literature findings from meta-analyses, observational studies and reviews with regard to gender and RA-associated comorbidities are presented.

RESULTS

There are gender-specific differences in the prevalence of comorbidities of RA. Depression, fibromyalgia and hypothyroidism are more frequent in women than in men, whereas cardiovascular diseases and diabetes are more common in men. Osteoarthritis and osteoporosis are frequent in both sexes.

CONCLUSION

Sex and gender-specific aspects should be taken into consideration in the diagnostics and treatment of RA-related comorbidities.

摘要

背景

合并症在类风湿关节炎(RA)的病程及治疗中起着重要作用。在RA相关合并症的患病率及表现方面存在性别特异性差异。

目的

总结目前对RA常见合并症中与性别相关方面的见解。

材料与方法

分析国家数据,并呈现来自荟萃分析、观察性研究及关于性别与RA相关合并症的综述的文献研究结果。

结果

RA合并症的患病率存在性别差异。抑郁症、纤维肌痛和甲状腺功能减退在女性中比男性更常见,而心血管疾病和糖尿病在男性中更普遍。骨关节炎和骨质疏松症在两性中都很常见。

结论

在RA相关合并症的诊断和治疗中应考虑性别特异性方面。

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