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银屑病关节炎与 COVID-19:风湿科医生和皮肤科医生面临的新挑战。

Psoriatic arthritis and COVID-19: a new challenge for rheumatologists and dermatologists.

机构信息

Department of Immunology, School of Public Health, Tehran University of Medical Sciences, 6446, Tehran, 14155, Iran.

出版信息

Pediatr Rheumatol Online J. 2024 Jan 18;22(1):16. doi: 10.1186/s12969-023-00929-1.

Abstract

COVID-19 has changed the global health system and has great impact on different types of medical specialties including, dermatology and rheumatology. This point is important because although these two specialties are distinct subfields of medicine, there is some overlap between them. The overlap can be described by a number of rheumatic diseases that have cutaneous manifestations and vice versa. A good example of this is psoriatic arthritis because, in up to 42% of people, cutaneous lesions and arthritis coexist. Interestingly, emerging reports have described the possible occurrence of psoriasis and psoriatic arthritis in COVID-19 patients. Although the exact mechanism is unclear, some common pathophysiological mechanisms may contribute to disease pathogenesis. Therefore, elucidation of shared pathological pathways that connect these diseases will be valuable for better diagnosis and the complete treatment of COVID-19 patients with cutaneous and rheumatologic diseases.

摘要

新型冠状病毒肺炎改变了全球卫生系统,对包括皮肤科和风湿病学在内的不同类型的医学专业产生了巨大影响。这一点很重要,因为尽管这两个专业是医学的不同子领域,但它们之间存在一些重叠。这种重叠可以通过许多具有皮肤表现的风湿性疾病来描述,反之亦然。一个很好的例子是银屑病关节炎,因为高达 42%的人同时存在皮肤损伤和关节炎。有趣的是,新出现的报告描述了 COVID-19 患者中可能发生的银屑病和银屑病关节炎。尽管确切的机制尚不清楚,但一些常见的病理生理机制可能有助于疾病的发病机制。因此,阐明连接这些疾病的共同病理途径将有助于更好地诊断和全面治疗患有皮肤和风湿病的 COVID-19 患者。

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本文引用的文献

1
Post-Acute COVID-19 Joint Pain and New Onset of Rheumatic Musculoskeletal Diseases: A Systematic Review.
Diagnostics (Basel). 2023 May 25;13(11):1850. doi: 10.3390/diagnostics13111850.
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COVID-19-induced psoriatic arthritis: a case report.
Ther Adv Chronic Dis. 2022 May 20;13:20406223221099333. doi: 10.1177/20406223221099333. eCollection 2022.
4
Biologics for Psoriasis During the COVID-19 Pandemic.
Front Med (Lausanne). 2021 Dec 6;8:759568. doi: 10.3389/fmed.2021.759568. eCollection 2021.

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