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血栓形成与系统性红斑狼疮:霍普金斯狼疮队列研究视角

Thrombosis and systemic lupus erythematosus: the Hopkins Lupus Cohort perspective.

作者信息

Petri M

出版信息

Scand J Rheumatol. 1996;25(4):191-3. doi: 10.3109/03009749609069986.

DOI:10.3109/03009749609069986
PMID:8792794
Abstract

Vascular damage in systemic lupus erythematosus (SLE) occurs through vasculitis, premature atherosclerosis, and hypercoagulability (predominantly due to the antiphospholipid antibody syndrome). In the Hopkins Lupus Cohort, a prospective cohort study, the incidence of thrombosis is 2 per 100 person-years of follow-up. Markers of immune-complex mediated injury (high anti-dsDNA and low C3), atherosclerosis (hypertension, hyperlipidemia, homocysteine) and antiphospholipid antibodies (lupus anticoagulant or anticardiolipin) are independent predictors of thrombosis. Hydroxychloroquine use is protective against future thrombosis.

摘要

系统性红斑狼疮(SLE)中的血管损伤通过血管炎、过早动脉粥样硬化和高凝状态(主要由于抗磷脂抗体综合征)发生。在一项前瞻性队列研究——霍普金斯狼疮队列中,血栓形成的发生率为每100人年随访2例。免疫复合物介导损伤的标志物(高抗双链DNA和低C3)、动脉粥样硬化(高血压、高脂血症、同型半胱氨酸)和抗磷脂抗体(狼疮抗凝物或抗心磷脂)是血栓形成的独立预测因素。使用羟氯喹可预防未来的血栓形成。

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