Cheffai Arij, Kechida Melek
Department of Internal Medicine and Endocrinology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia.
Reumatologia. 2024;62(1):52-57. doi: 10.5114/reum/184157. Epub 2024 Mar 7.
Autoimmune diseases (ADs) and myelodysplastic syndrome (MDS) may be associated in approximately 10-20% of cases. Although this association has been well recognized, it is not always easily diagnosed. The exact physiopathological mechanism involved has yet to be determined but seems to be multifactorial. The therapeutic decision is not well codified and often represents a challenge. But overall, glucocorticosteroids have generally proven to be effective at the expense of a high incidence of dependence and relapse. This review aims to summarize and analyze all aspects of this association to provide an overview for practitioners and clinicians. A scientific search in databases (PubMed, Scopus, Web of Science, Google Scholar) was conducted using a combination of key words such as autoimmune diseases, myelodysplastic syndromes, and association. Articles from 1992 to 2022 were considered and relevant data were collected and summarized to provide a coherent detailed overview of the coexistence of ADs and MDS.
自身免疫性疾病(ADs)与骨髓增生异常综合征(MDS)在约10%-20%的病例中可能存在关联。尽管这种关联已得到充分认识,但并不总是容易诊断。所涉及的确切生理病理机制尚未确定,但似乎是多因素的。治疗决策尚未得到很好的规范,往往是一项挑战。但总体而言,糖皮质激素通常已被证明是有效的,但其代价是依赖性和复发的高发生率。本综述旨在总结和分析这种关联的各个方面,为从业者和临床医生提供一个概述。我们使用自身免疫性疾病、骨髓增生异常综合征和关联等关键词组合在数据库(PubMed、Scopus、科学网、谷歌学术)中进行了科学检索。考虑了1992年至2022年的文章,并收集和总结了相关数据,以提供关于ADs和MDS共存的连贯详细概述。