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类风湿关节炎患者中的淀粉样变性

[Amyloidosis in patients with rheumatoid arthritis].

作者信息

Krel' A A, Semeĭkina O V, Khamishon L Z, Varshavskiĭ V A, Kanevskaia M Z

出版信息

Ter Arkh. 1986;58(7):128-31.

PMID:3764729
Abstract

Of 467 patients followed-up for 15 yrs, rheumatoid arthritis was complicated by amyloidosis in 47 (10%). The relationship of amyloidosis development with a high or constantly moderate activity and expression of rheumatoid arthritis and its severity was brought to light. The results of biopsies of the mucosa, kidneys and liver, autopsy and clinical findings were analyzed and correlated. An increase in the frequency of amyloidosis development was noted in patients treated with glucocorticoids whereas in patients receiving cytostatics there was not such an increase.

摘要

在467例随访15年的患者中,47例(10%)类风湿关节炎合并淀粉样变性。淀粉样变性的发生与类风湿关节炎的高活动度或持续中度活动度、表现及其严重程度之间的关系得以揭示。对黏膜、肾脏和肝脏的活检结果、尸检结果及临床发现进行了分析并相互关联。使用糖皮质激素治疗的患者中淀粉样变性的发生频率增加,而接受细胞抑制剂治疗的患者则未出现这种增加。

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