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希腊风湿性多肌痛和/或巨细胞动脉炎患者的临床、血清学和免疫学特征:一项研究方案。

Clinical, Serological, and Immunological Characteristics of Greek Patients with Polymyalgia Rheumatica and/or Giant Cell Arteritis: A Research Protocol.

作者信息

Memi Tereza, Koletsos Nikolaos, Gerolymatou Nafsika, Karakosta Maria, Georgiadis Athanasios N, Drosos Alexandros A, Voulgari Paraskevi V

机构信息

Rheumatology Clinic, Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.

出版信息

Mediterr J Rheumatol. 2023 Sep 5;34(4):577-580. doi: 10.31138/mjr.050923.csa. eCollection 2023 Dec.

DOI:10.31138/mjr.050923.csa
PMID:38282939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10815527/
Abstract

Polymyalgia Rheumatica (PMR) and Giant Cell Arteritis (GCA) are chronic inflammatory disorders that usually affect older people. Although the aetiology of these diseases remains unknown, genetic, environmental, and immune factors have been implicated. Specific cytokines such as the IL-6, IL-1β, IL-12, IL-17, and interferon -γ seem to play an essential role. The diagnosis of the disease is usually based on clinical manifestations and the use of histology or imaging, while disease monitoring is based on physical examination, laboratory, and imaging findings. However, there is the unmet need in identifying possible biomarkers that could help the diagnosis and the monitoring as well. The present study aims to investigate the epidemiological, clinical, and immunological characteristics of PMR and/or GCA patients in the region of northwest Greece and to evaluate the role of specific molecules associated with the pathogenesis of the diseases, giving evidence to possible future biomarkers.

摘要

风湿性多肌痛(PMR)和巨细胞动脉炎(GCA)是通常影响老年人的慢性炎症性疾病。尽管这些疾病的病因尚不清楚,但遗传、环境和免疫因素已被牵连其中。特定的细胞因子如白细胞介素-6、白细胞介素-1β、白细胞介素-12、白细胞介素-17和干扰素-γ似乎起着至关重要的作用。疾病的诊断通常基于临床表现以及组织学或影像学的应用,而疾病监测则基于体格检查、实验室检查和影像学检查结果。然而,在识别可能有助于诊断和监测的生物标志物方面仍存在未满足的需求。本研究旨在调查希腊西北部地区PMR和/或GCA患者的流行病学、临床和免疫学特征,并评估与疾病发病机制相关的特定分子的作用,为未来可能的生物标志物提供证据。

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本文引用的文献

1
2022 American College of Rheumatology/EULAR Classification Criteria for Giant Cell Arteritis.2022年美国风湿病学会/欧洲抗风湿病联盟巨细胞动脉炎分类标准。
Arthritis Rheumatol. 2022 Dec;74(12):1881-1889. doi: 10.1002/art.42325. Epub 2022 Nov 8.
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Diagnosing giant cell arteritis: a comprehensive practical guide for the practicing rheumatologist.巨细胞动脉炎的诊断:临床风湿病医生实用综合指南。
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Predicting the risk of relapse in polymyalgia rheumatica: novel insights.预测风湿性多肌痛复发风险:新见解
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The pathophysiology of polymyalgia rheumatica, small pieces of a big puzzle.巨细胞动脉炎的病理生理学:拼图的一小部分。
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Sensitivity of temporal artery biopsy in the diagnosis of giant cell arteritis: a systematic literature review and meta-analysis.颞动脉活检对巨细胞动脉炎诊断的敏感性:系统文献回顾和荟萃分析。
Rheumatology (Oxford). 2020 May 1;59(5):1011-1020. doi: 10.1093/rheumatology/kez385.
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Front Immunol. 2019 May 29;10:1135. doi: 10.3389/fimmu.2019.01135. eCollection 2019.
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Genetic Predispositions of Glucocorticoid Resistance and Therapeutic Outcomes in Polymyalgia Rheumatica and Giant Cell Arteritis.风湿性多肌痛和巨细胞动脉炎中糖皮质激素抵抗的遗传易感性及治疗结果
J Clin Med. 2019 Apr 27;8(5):582. doi: 10.3390/jcm8050582.
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The impact of temporal artery biopsy for the diagnosis of giant cell arteritis in clinical practice in a tertiary university hospital.在一家三级大学医院的临床实践中,颞动脉活检对巨细胞动脉炎诊断的影响。
PLoS One. 2019 Mar 29;14(3):e0210845. doi: 10.1371/journal.pone.0210845. eCollection 2019.
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Markers of angiogenesis and macrophage products for predicting disease course and monitoring vascular inflammation in giant cell arteritis.用于预测巨细胞动脉炎疾病进程和监测血管炎症的血管生成标志物和巨噬细胞产物
Rheumatology (Oxford). 2019 Feb 25;58(8):1383-92. doi: 10.1093/rheumatology/kez034.
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S100 proteins in rheumatic diseases.S100 蛋白与风湿性疾病。
Nat Rev Rheumatol. 2018 Sep;14(9):528-541. doi: 10.1038/s41584-018-0058-9.