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类风湿关节炎患者人口统计学和临床特征与类风湿因子血清阳性的相关性

Correlation of Demographic and Clinical Characteristics with Rheumatoid Factor Seropositivity in Rheumatoid Arthritis Patients.

作者信息

Othman Maizatul Akmal, Ghazali Wan Syamimee Wan, Yahya Nurul Khaiza, Wong Kah Keng

机构信息

Department of Immunology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Department of Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

出版信息

Malays J Med Sci. 2016 Nov;23(6):52-59. doi: 10.21315/mjms2016.23.6.6. Epub 2016 Dec 7.

DOI:10.21315/mjms2016.23.6.6
PMID:28090179
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5181992/
Abstract

BACKGROUND

The rheumatoid factor (RF) blood test is the most commonly adopted test for the diagnosis of rheumatoid arthritis (RA). RA patients who are seropositive for RF might face a greater likelihood of developing more aggressive symptoms.

METHODS

Our goal was to study the demographic and clinical characteristics, as well as their correlation with RF seropositivity, among a series of 80 RA patients aged ≥ 18 years who attend Hospital Universiti Sains Malaysia (HUSM).

RESULTS

Of the 80 RA patients included in this study, 66 (82.5%) were female and 14 (17.5%) were male. No significant associations between RF seropositivity and demographic and/or clinical characteristics or other laboratory investigations were observed, including gender, morning stiffness, individual joint involvement (from multiple sites of the body), and erythrocyte sedimentation rate (ESR) measurement. However, a significant association between RF seropositivity and patients aged ≥ 50 was found ( = 0.032).

CONCLUSION

RF seropositivity was found to be more common in much older RA patients.

摘要

背景

类风湿因子(RF)血液检测是诊断类风湿关节炎(RA)最常用的检测方法。RF血清阳性的RA患者可能更有可能出现更严重的症状。

方法

我们的目标是研究马来西亚理科大学医院(HUSM)收治的80例年龄≥18岁的RA患者的人口统计学和临床特征,以及它们与RF血清阳性的相关性。

结果

本研究纳入的80例RA患者中,66例(82.5%)为女性,14例(17.5%)为男性。未观察到RF血清阳性与人口统计学和/或临床特征或其他实验室检查之间存在显著关联,包括性别、晨僵、个体关节受累(来自身体多个部位)和红细胞沉降率(ESR)测量。然而,发现RF血清阳性与年龄≥50岁的患者之间存在显著关联(P = 0.032)。

结论

发现RF血清阳性在年龄较大的RA患者中更为常见。

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本文引用的文献

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BMC Med. 2014 Mar 18;12:49. doi: 10.1186/1741-7015-12-49.
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Diagnosis and classification of rheumatoid arthritis.类风湿性关节炎的诊断与分类。
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Rituximab for the treatment of rheumatoid arthritis: an update.利妥昔单抗治疗类风湿关节炎:最新进展
Drug Des Devel Ther. 2013 Dec 27;8:87-100. doi: 10.2147/DDDT.S41645.
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Anti-cyclic citrullinated peptide antibody is a good indicator for the diagnosis of rheumatoid arthritis.抗环瓜氨酸肽抗体是类风湿关节炎诊断的良好指标。
Pak J Med Sci. 2013 May;29(3):773-7. doi: 10.12669/pjms.293.2924.
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Estimates of the prevalence of and current treatment practices for rheumatoid arthritis in Japan using reimbursement data from health insurance societies and the IORRA cohort (I).利用医疗保险协会和 IORRA 队列(I)的报销数据估计日本类风湿关节炎的患病率和当前治疗实践。
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HLA-DRB1 allele association with rheumatoid arthritis susceptibility and severity in Syria.叙利亚人群中HLA - DRB1等位基因与类风湿性关节炎易感性及严重程度的关联
Rev Bras Reumatol. 2013 Feb;53(1):47-56.
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Elevated rheumatoid factor and long term risk of rheumatoid arthritis: a prospective cohort study.类风湿因子升高与类风湿关节炎的长期发病风险:一项前瞻性队列研究。
BMJ. 2012 Sep 6;345:e5244. doi: 10.1136/bmj.e5244.
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Rheumatoid arthritis: from autoimmunity to synovitis and joint destruction.类风湿关节炎:从自身免疫到滑膜炎和关节破坏。
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