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2011年脊柱关节炎国际学会(ASAS)分类标准在脊柱关节炎患者中的价值及非放射学轴性脊柱关节炎的预后:来自一家三级转诊医院的大型队列研究数据

The value of the 2011 ASAS classification criteria in patients with Spondyloarthritis and the prognosis of non-radiographic axial Spondyloarthritis: data from a large cohort of a tertiary referral hospital.

作者信息

Kougkas Nikolaos, Avgoustidis Nestor, Repa Argyro, Bertsias George, Eskitzis Anastasios, Sidiropoulos Prodromos

机构信息

Department of Rheumatology, Clinical Immunology and Allergy, University of Crete School of Medicine, Heraklion, Greece.

出版信息

Mediterr J Rheumatol. 2019 Mar 28;30(1):51-53. doi: 10.31138/mjr.30.1.51. eCollection 2019 Mar.

Abstract

Spondyloarthritides (SpA) are a group of interrelated rheumatic disorders that includes ankylosing spondylitis (AS), psoriatic arthritis (PsA), arthritis related to inflammatory bowel disease and reactive arthritis. Since the latest classification criteria published from the ASAS (Assessment of SpondyloArthritis international Society), patients with these diagnoses can be classified either as having axial or peripheral SpA. In this study, these new criteria of ASAS will be applied to all patients with a clinical diagnosis of SpA that are followed in the Rheumatology Clinic of University Hospital of Heraklion. Furthermore, patients with non-radiographic axial SpA (nrAxSpA) will be monitored, both retrospectively and prospectively, for their long-term outcome in terms of imaging and clinical aspects (remission, disability, severe complications, eg, uveitis). This study is expected to give valuable information of the performance of these new criteria in daily clinical practice and of the prognosis of patients with non-radiographic axial SpA.

摘要

脊柱关节炎(SpA)是一组相互关联的风湿性疾病,包括强直性脊柱炎(AS)、银屑病关节炎(PsA)、与炎症性肠病相关的关节炎以及反应性关节炎。自国际脊柱关节炎评估协会(ASAS)发布最新分类标准以来,这些诊断的患者可分为轴向型或外周型SpA。在本研究中,ASAS的这些新标准将应用于伊拉克利翁大学医院风湿病诊所随访的所有临床诊断为SpA的患者。此外,将对非放射学轴向SpA(nrAxSpA)患者进行回顾性和前瞻性监测,以了解其在影像学和临床方面(缓解、残疾、严重并发症,如葡萄膜炎)的长期预后。本研究有望提供这些新标准在日常临床实践中的表现以及非放射学轴向SpA患者预后的有价值信息。

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