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家族性和散发性多发性硬化症患者的人口统计学和临床特征

Demographic and Clinical Characteristics of Familial and Sporadic Multiple Sclerosis Patients.

作者信息

Mokhtari Shahrzad, Houshi Shakiba, Mirmosayyeb Omid, Barzegar Mahdi, Afshari-Safavi Alireza, Ghasemi Majid, Shaygannejad Vahid

机构信息

School of Medicine, Najafabad Branch, Islamic Azad University, Isfahan, Iran.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2023 Jun 22;14:86. doi: 10.4103/ijpvm.ijpvm_187_22. eCollection 2023.

Abstract

BACKGROUND

Multiple sclerosis (MS) is a chronic, inflammatory, demyelinating, immune-mediated disease of the central nervous system. It is still unestablished whether heredity correlates with the disease's progression and severity.

METHODS

This study includes the patients with MS seen in the MS clinic of Kashani Hospital, affiliated with Isfahan University of Medical Sciences, from January 2019 to January 2020. We gathered data regarding the demographic and clinical characteristics, such as type of disease and family history of MS. Patients were grouped based on having relatives with MS. We compared demographic and clinical characteristics between those with a family history of MS (familial MS: FMS) and those without a family history of MS (sporadic MS: SMS).

RESULTS

We included 2,929 MS patients, 523 (17.2%) with FMS and 2,406 (82.8%) with SMS. Patients with FMS were found to have active lesions in the thoracic spine more frequently than those with SMS ( = 0.022). We also found differences in the distribution of gender ( = 0.036) and the frequency of having active brain lesions ( = .024) among patients with FMS and SMS. No difference was found between the demographic/clinical characteristics and the number of affected relatives in the family.

CONCLUSIONS

Significant differences were found among different groups of patients in terms of demographical and clinical characteristics.

摘要

背景

多发性硬化症(MS)是一种慢性、炎症性、脱髓鞘性、免疫介导的中枢神经系统疾病。遗传因素是否与该疾病的进展和严重程度相关仍未明确。

方法

本研究纳入了2019年1月至2020年1月期间在伊斯法罕医科大学附属卡沙尼医院的MS诊所就诊的MS患者。我们收集了有关人口统计学和临床特征的数据,如疾病类型和MS家族史。患者根据是否有MS亲属进行分组。我们比较了有MS家族史的患者(家族性MS:FMS)和无MS家族史的患者(散发性MS:SMS)之间的人口统计学和临床特征。

结果

我们纳入了2929例MS患者,其中523例(17.2%)为FMS,2406例(82.8%)为SMS。发现FMS患者胸椎有活动性病变的频率高于SMS患者( = 0.022)。我们还发现FMS和SMS患者在性别分布( = 0.036)和有活动性脑病变的频率( = 0.024)方面存在差异。在人口统计学/临床特征与家庭中受影响亲属的数量之间未发现差异。

结论

不同组患者在人口统计学和临床特征方面存在显著差异。

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