Neurological and psychiatric comorbidities in bullous pemphigoid

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2022-01-01 DOI:10.5937/afmnai39-35922
Arsovska Mirceska, K. Damevska, V. Simeonovski, A. Jović, D. Tiodorovic
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Abstract

Introduction: Bullous pemphigoid (BP) is an autoimmune skin disease that typically presents with severe itching and blistering, with or without eczematous and urticarial lesions. Patients with BP are at an increased risk of comorbid conditions, especially neurologic and psychiatric diseases. Several recent studies have found a link between BP and neurological disorders, especially stroke, dementia, and Parkinson's disease. The aim of our study was to evaluate the prevalence of neurological and psychiatric comorbidities and their treatment in BP patients. Methods: A cross-sectional, observational, descriptive study was conducted based on the analysis of the medical records of 105 patients with confirmed BP. Demographic and clinical data on BP, neurological and psychiatric comorbidities were collected and statistically analyzed for all patients. Results: The median age was 77.8±10.6 years (range, 39-98 years). Among the study group, 71 (67,61%) patients had neurological comorbidity. Comorbidity with the highest frequency was ischemic stroke found in 28 (26,67%) patients, followed by dementia in 27 (25,71%), Alzheimer's in 11 (10,48%) and Parkinson's disease 5 (4,76%) patients. It was noted that there was a statistically significant difference among male and female patients with Alzheimer's disease (p = 0,0046) and psychiatric disorder (p = 0,044). Conclusion: Neurological disorders usually precede the diagnosis of BP, and mortality may be higher in patients with comorbid conditions. Clinicians should be aware of the early signs and symptoms of BP, primarily in patients with primary neurological disorders such as dementia, stroke, or Parkinson's disease.
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大疱性类天疱疮的神经和精神合并症
大疱性类天疱疮(BP)是一种自身免疫性皮肤病,通常表现为严重的瘙痒和水泡,伴有或不伴有湿疹和荨麻疹病变。BP患者出现合并症的风险增加,尤其是神经和精神疾病。最近的几项研究发现,血压与神经系统疾病,特别是中风、痴呆和帕金森病之间存在联系。本研究的目的是评估BP患者神经和精神合并症的患病率及其治疗方法。方法:对105例确诊BP患者的病历进行横断面、观察性、描述性研究。收集所有患者的血压、神经和精神合并症的人口学和临床数据并进行统计分析。结果:中位年龄77.8±10.6岁(范围39 ~ 98岁)。在研究组中,71例(67.61%)患者有神经系统合并症。共病发生率最高的是缺血性脑卒中28例(26.67%),其次是痴呆27例(25.71%),阿尔茨海默病11例(10.48%),帕金森病5例(4.76%)。值得注意的是,阿尔茨海默病(p = 0,0046)和精神障碍(p = 0,044)的男女患者之间存在统计学上的显著差异。结论:神经系统疾病通常先于BP的诊断,并且合并并发症的患者死亡率可能更高。临床医生应该意识到BP的早期症状和体征,尤其是在原发性神经系统疾病,如痴呆、中风或帕金森病的患者中。
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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