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[白塞病中静脉血栓形成的发生率及预测因素]

[Frequency and predictive factors of venous thrombosis in Behçet's disease].

作者信息

Ha-Ou-Nou F Z, Essaadouni L

机构信息

Service de médecine interne, centre hospitalier universitaire Mohammed-VI Marrakech, Marrakech, Maroc.

Service de médecine interne, centre hospitalier universitaire Mohammed-VI Marrakech, Marrakech, Maroc.

出版信息

Rev Med Interne. 2020 Sep;41(9):578-582. doi: 10.1016/j.revmed.2020.03.010. Epub 2020 May 27.

Abstract

OBJECTIVE

To investigate the clinical features of venous thrombosis in patients with Behçet's disease and to determine the patients at high risk for this complication.

METHODS

We retrospectively studied patients with venous thrombosis (n = 157) who were followed up in the Internal Medicine department. These patients were divided into two groups according to the existence (n = 60, 38.2%) or not (n = 97, 61.8%) of Behçet disease. To find correlations between venous involvement and other manifestations of the disease, patients with Behçet's disease and venous thrombosis were compared to those without venous.

RESULTS

Behçet's disease patients were younger (p = 0.020) and most often men (p < 0.01) compared with patients with venous thrombosis unrelated to Behçet disease. Unusual location was also more frequent in the Behçet's disease group, especially thrombosis of the superior and inferior vena cava (p = 0.030 and p = 0.013) and the suprahepatic veins (p = 0.006). Among Behçet's patients, those with venous thrombosis were more male (p = 0.003) and had less ocular and articular involvement (p < 0.001 and p = 0.004, respectively).

CONCLUSION

Compared to patients without venous thrombosis, patients with Behcet's disease with venous thrombosis are younger, are predominantly male, have a lower frequency of ocular and articular involvement and present an unusual topography of the thrombosis.

摘要

目的

探讨白塞病患者静脉血栓形成的临床特征,并确定发生该并发症的高危患者。

方法

我们对内科随访的静脉血栓形成患者(n = 157)进行了回顾性研究。根据是否存在白塞病将这些患者分为两组,存在白塞病的患者60例(38.2%),不存在白塞病的患者97例(61.8%)。为了找出静脉受累与疾病其他表现之间的相关性,将白塞病合并静脉血栓形成的患者与未合并静脉血栓形成的患者进行比较。

结果

与非白塞病相关静脉血栓形成的患者相比,白塞病患者更年轻(p = 0.020),且男性居多(p < 0.01)。白塞病组不常见部位的血栓形成也更常见,尤其是上、下腔静脉血栓形成(p = 0.030和p = 0.013)以及肝上静脉血栓形成(p = 0.006)。在白塞病患者中,合并静脉血栓形成的患者男性更多(p = 0.003),眼部和关节受累较少(分别为p < 0.001和p = 0.004)。

结论

与无静脉血栓形成的患者相比,合并静脉血栓形成的白塞病患者更年轻,以男性为主,眼部和关节受累频率较低,且血栓形成部位不常见。

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