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Rituximab-Therapie wirkt sich auf Immunschutz durch COVID-19-Impfung aus 利妥昔单抗治疗通过接种新冠肺炎疫苗影响免疫保护
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-06-01 DOI: 10.1055/a-2042-7459
Eine Rituximab-Therapie wirkt sich bei Patienten mit rheumatischen und muskuloskelettalen Erkrankungen mit einer verringerten humoralen Reaktion auf die COVID-19-Impfung aus. Die T-Zell-vermittelte Immunantwort bleibt bei der Mehrheit erhalten, dennoch bleibt das Ausmaß des Schutzes unklar. Yusof et al. ermittelten die Inzidenz von SARS-CoV-2-Durchbruchsinfektionen und bewerteten Prädiktoren für mittelschwere bis schwere COVID-19-Ergebnisse.
利妥昔单抗治疗影响风湿性和肌肉骨骼疾病患者,对新冠肺炎疫苗接种的体液反应降低。T细胞介导的免疫反应仍然占大多数,但保护作用的程度尚不清楚。Yusof等人确定了SARS-CoV-2突破性感染的发病率,并评估了中重度新冠肺炎结果的预测因素。
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引用次数: 0
PET/CT zeigt nur mäßige Genauigkeit bei Einstufung von Großgefäßvaskulitis PET/CT在血管炎分类中仅显示中等准确性
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-06-01 DOI: 10.1055/a-1992-2415
Bisher konnte sich keine Methodik zur Bewertung der Krankheitsaktivität bei Großgefäßvaskulitis in der klinischen Praxis als valide und nützlich erweisen. Galli et al. untersuchten die Genauigkeit der Positronen-Emissions-Tomographie in Kombination mit der Computertomographie (PET/CT) und des PET Vascular Activity Score (PETVAS) zur Beurteilung der Krankheitsaktivität und zur Vorhersage von Rückfällen.
到目前为止,没有任何评估血管炎疾病活动性的方法在临床实践中被证明是有效和有用的。Galli等人研究了正电子发射断层扫描结合计算机断层扫描(PET/CT)和PET血管活性评分(PETVAS)评估疾病活动性和预测复发的准确性。
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引用次数: 0
Gonarthrose und Meniskusriss: Operation versus Physiotherapie 膝关节病和半月板破裂:手术与物理治疗
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-06-01 DOI: 10.1055/a-1952-2744
Mehr als 90% der Menschen mit einer symptomatischen Gonarthrose weisen in der Magnetresonanztomografie (MRT) einen begleitenden Meniskusriss auf. Bei dieser Konstellation bieten sich prinzipiell 2 Behandlungsstrategien an: Das konservative Vorgehen mit Physiotherapie und pharmakologischem Schmerzmanagement oder die arthroskopische Menisusteilresektion. Welchen Langzeitverlauf nehmen bei diesen beiden Strategien die strukturellen Gelenkschäden?
超过90%的有症状的膝关节病患者在磁共振成像(MRI)中显示伴有半月板破裂。在这种情况下,通常推荐两种治疗策略:物理治疗和药物疼痛管理的保守方法或关节镜下半月板切除术。在这两种策略中,结构联合损伤的长期过程是什么?
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引用次数: 0
Comparison of Exercise Capacity, Physical Activity Level and Peripheral Muscle Strength in Systemic Lupus Erythematosus Patients with Healthy Individuals 系统性红斑狼疮患者与健康人运动能力、体力活动水平及外周肌力的比较
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-05-30 DOI: 10.1055/a-2106-7129
F. Sari, S. Bayram, D. Oskay, A. Tufan
Abstract Background This study investigated physical activity, peripheral muscle strength, exercise capacity, sleep, fatigue, anxiety and depression in patients with systemic lupus erythematosus (SLE). Material and Methods Twenty-six patients with SLE, median age 32.5 (25–43) years, and 29 healthy individuals, median age 30 (23–32) years, were included. Exercise capacity (6-minute walk test (6MWT)), peripheral muscle strength (dynamometer), physical activity (Mi Band 4 smart band), fatigue (Fatigue Severity Scale (FSS)), anxiety and depression (Hospital Anxiety Depression scale (HAD)), quality of life (SLE-specific QOL scale (SLEQoL)) and sleep (Pittsburgh Sleep Quality Index (PSQI)) were assessed. Results Demographic characteristics were similar in both groups. 6MWT distance, peripheral muscle strength, physical activity level, SLEQoL and PSQI scores were significantly lower, while FSS and HAD scores were higher in patients with SLE (p<0.05). Moreover, pre-test and post-test heart rates, dyspnea and fatigue severity scores were higher in patients with SLE than in healthy individuals (p<0.05). Conclusion Patients with SLE had lower exercise capacity, muscle strength, physical activity, quality of life and sleep quality, along with more common fatigue, anxiety and depression. Strategies need to be developed to improve these symptoms in patients with SLE for a favourable outcome.
摘要背景本研究调查了系统性红斑狼疮(SLE)患者的体力活动、外周肌力、运动能力、睡眠、疲劳、焦虑和抑郁。材料和方法纳入26名SLE患者,中位年龄32.5(25-43)岁,29名健康人,中位年纪30(23-32)岁。评估运动能力(6分钟步行测试(6MWT))、外周肌力(测功机)、体力活动(Mi Band 4智能带)、疲劳(疲劳严重程度量表(FSS))、焦虑和抑郁(医院焦虑抑郁量表(HAD))、生活质量(SLE特异性生活质量量表(SLEQoL))和睡眠(匹兹堡睡眠质量指数(PSQI))。结果两组患者的人口学特征相似。SLE患者6MWT距离、外周肌力、体力活动水平、SLEQoL和PSQI评分显著降低,FSS和HAD评分较高(p<0.05)。此外,SLE患者测试前和测试后心率、呼吸困难和疲劳严重程度评分高于健康人(p<0.05),肌肉力量、体力活动、生活质量和睡眠质量,以及更常见的疲劳、焦虑和抑郁。需要制定策略来改善SLE患者的这些症状,以获得有利的结果。
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引用次数: 0
A Case Report of COVID-19-Related Dactylitis Combined with Chilblain-Like Acral Lesions 新冠肺炎相关指炎合并冻疮样肢端病变1例
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-05-04 DOI: 10.1055/a-2044-0440
M. Kulyk, Anna Novytska, Ruslana Potemka, O. Ivashkivskyi, T. Karasevska, Halyna Mostbauer, M. Dzhus
Abstract This case report describes the occurrence of symmetrical dactylitis of toes combined with chilblain-like acral lesions in a 32-year-old female patient 19 days after a mild coronavirus infection. The article addresses existing problems of managing patients after COVID-19 in daily clinical practice. Scientific evidence is pointing to a growing number of cases of articular and skin involvement associated with COVID-19. However, it remains unclear what approaches to use in the treatment of such patients.
摘要本病例报告描述了一名32岁女性患者在轻度冠状病毒感染19天后发生对称性脚趾指关节炎并伴有冻疮样肢端病变。文章针对新冠肺炎患者日常临床管理中存在的问题进行了探讨。科学证据表明,与新冠肺炎相关的关节和皮肤受累病例越来越多。然而,目前尚不清楚在治疗此类患者时使用何种方法。
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引用次数: 0
Operative Eingriffe im Bereich der Hand und des Handgelenkes bei rheumatischen Affektionen in der Jugend 幼年风湿性干预的手和手腕手术
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-04-19 DOI: 10.1055/a-2041-3117
M. Arbogast
Zusammenfassung Die Behandlung der juvenilen idiopathischen Arthritis (JIA) hat in den vergangenen 25 Jahren dramatische Fortschritte gemacht. „Hit hard and early“ sind die Wesenszüge der medikamentösen Behandlung entzündlich-rheumatischer Erkrankungen heutzutage [7,9,11,12]. Im Zeitalter der Biologika läßt die medikamentöse Vielfalt multiple Variationen zu, um den Erkrankungsprozess zu verlangsamen oder gar zu stoppen [19]. Deshalb ist es wichtig geworden, bei fehlender Rückbildung der Prozeßaktivität im Sinne einer synovialen Schwellung an Sehnen oder Gelenken frühzeitig die Frage einer operativen Therapie zum Sehen- oder Gelenkerhalt beantwortet zu wissen [25]. Durch ein frühzeitiges Interagieren von medikamentöser und operativer Therapie kann dem betroffenen jungen Rheumatiker langfristig eine schmerzarme und wenig funktionsgeminderte Alltagstauglichkeit nicht nur der Hand geschaffen werden. Dabei hat der Sehnen- und Gelenkerhalt nicht nur an der Hand höchste Priorität vor den rekonstruktiven operativen Möglichkeiten.
摘要青少年特发性关节炎(JIA)的治疗在过去25年中取得了巨大进展。“早打早打”是当今炎性风湿性疾病药物治疗的特点[7,9,11,12]。在生物制品时代,药物的多样性允许多种变异来减缓甚至停止疾病过程[19]因此,在肌腱或关节滑膜肿胀的过程活动没有减少的情况下,尽早回答视力或关节维持的手术治疗问题变得很重要[25]。药物和手术治疗的早期相互作用可以为受影响的年轻风湿病学家提供长期、无痛和功能受损的日常使用,而不仅仅是手。肌腱和关节的保存不仅在手上,而且比重建手术的可能性更重要。
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引用次数: 0
Adherence to Colchicine During Pregnancy in Familial Mediterranean Fever Patients: Reasons for Cessation and Outcomes from a Single-Centre Experience 家族性地中海热患者妊娠期对秋水仙碱的依从性:停止使用的原因和单中心经验的结果
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-04-12 DOI: 10.1055/a-2021-7668
İ. Doğan, S. Güven, Ö. Karakaş, E. Erdoğan, Ş. Erten
Abstract Objective To evaluate the adherence to colchicine treatment during pregnancy and lactation in our Familial Mediterranean fever (FMF) patients and investigate the reasons for non-adherence and consequences. Methods Adult female FMF patients who were followed up in our rheumatology clinic and had a history of pregnancy after the diagnosis of FMF were consecutively enrolled to this cross-sectional study between November 2021 and June 2022. Only pregnancies occurring after the diagnosis of FMF were evaluated. Patients who did not stop using FMF treatment after pregnancy were considered to adhere to treatment. Results In 50 patients, a total of 88 pregnancies and 58 live births were observed after the diagnosis of FMF. 37 (74%) had at least one completed pregnancy, and 13 (26.0) were pregnant during the study. Among the 37 patients, 34 had at least one live birth. No significant differences were observed when rates of patients with a history of at least one live birth, abortus, Cesarean section (C/S), preterm labor, stillbirth, intrauterine anomaly, congenital malformation and fetal growth retardation were compared between colchicine users and non-users. 60% of the patients adhered to colchicine treatment during pregnancy and 73.4% did so while breastfeeding. The most common reason for colchicine cessation was concerns regarding potential harm to the fetus (70%), followed by the presumption that colchicine is contraindicated in pregnancy (15%) as well as absence of FMF attacks (10%). The most common source of the patients’ opinion was a physician (60%). Conclusions Both patients and attending physicians should be informed to be more adherent to colchicine to avoid adverse outcomes and FMF-related complications.
目的评价家族性地中海热(FMF)患者妊娠和哺乳期秋水仙碱治疗的依从性,探讨不依从性的原因和后果。方法在2021年11月至2022年6月期间,在我们的风湿病诊所随访并诊断为FMF后有妊娠史的成年女性FMF患者连续入选本横断面研究。仅评估FMF诊断后发生的妊娠。妊娠后未停止使用FMF治疗的患者被认为坚持治疗。结果50例患者诊断为FMF后,共观察到88例妊娠和58例活产。37人(74%)至少有一次完成妊娠,13人(26.0%)在研究期间怀孕。在37例患者中,34例至少有一次活产。秋水仙碱服用者和非服用者的活产史、流产史、剖宫产史、早产史、死产史、宫内异常史、先天性畸形史和胎儿生长迟缓史的发生率比较无显著差异。60%的患者在怀孕期间坚持使用秋水仙碱,73.4%的患者在母乳喂养期间坚持使用秋水仙碱。停用秋水仙碱最常见的原因是担心对胎儿的潜在危害(70%),其次是秋水仙碱在妊娠期禁忌症(15%)以及没有FMF发作(10%)。患者意见最常见的来源是医生(60%)。结论应告知患者和主治医生秋水仙碱的使用应更加坚持,以避免不良后果和fmf相关并发症。
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引用次数: 0
Does Kinesiophobia Affect Spatiotemporal Parameters in Patients with Ankylosing Spondylitis? 运动恐惧症会影响强直性脊柱炎患者的时空参数吗?
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-04-04 DOI: 10.1055/a-2035-9233
Gulnihal Deniz, Furkan Bilek, S. B. Yentur, G. Akgol
Abstract Aim We aimed to examine the effect of kinesiophobia on functional capacity, disease activity, quality of life and spatiotemporal parameters of patients with AS by comparing AS patients with healthy controls. Material and method Our study included 46 patients with ankylosing spondylitis (AS) and 45 healthy controls (HC). Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life Scale (ASQoL), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Tampa Kinesiophobia Scale (TKS) scores, Timed Up and Go (TUG) test, maximum plantar pressure and spatiotemporal parameters (total weight transfer, step cycle duration, double-support phase, swing phase, step length, foot angle and cadence) were evaluated. Results Ninety-one individuals (46 AS, 45 HC) (age/sex/BMI) were included in our study. Statistically significant differences were seen between AS and HC groups in TUG, cadence, TKS, maximum pressure, step cycle duration, swing phase, step length, double-support phase, and foot angle measurements (p<0.05). Significant positive correlations existed between TKS and BASMI, BASDAI, BASFI, ASoQ, TUG and foot angle (p<0.05) in AS. Substantial negative correlations were found between TKS and maximum pressure, cadence and swing phase values (p<0.05) in AS. Conclusion Our study is the first in the literature to measure spatiotemporal parameters between patients with AS and HC and evaluate their relationship with kinesiophobia, which was done to the best of our knowledge. We found that patients with AS changed their gait phases by developing a unique pattern and created a more cautious and safe gait model to provide balance and stability. Our study revealed a statistically significant relationship between kinesiophobia and disease activity, functional status, quality of life, cadence, maximum plantar pressure, swing phase, and foot angle. The detailed data we obtained in our study will shed light on gait analysis and research on kinesiophobia in patients with AS. Kinesiophobia should be evaluated in routine gait rehabilitation protocols applied to individuals with AS, and treatment protocols for kinesiophobia should be added if necessary.
摘要目的通过比较AS患者与健康对照组,探讨运动恐惧症对AS患者功能能力、疾病活动、生活质量和时空参数的影响。材料和方法我们的研究包括46名强直性脊柱炎(AS)患者和45名健康对照(HC)。巴斯强直性脊柱炎计量指数(BASMI)、巴斯强直性脊髓炎功能指数(BASFI)、强直性脊柱炎生活质量量表(ASQoL)、巴斯脊柱炎疾病活动指数(BASDAI)、坦帕运动恐惧症量表(TKS)评分、定时上下(TUG)测试,评估最大足底压力和时空参数(总重量转移、步周期持续时间、双支撑阶段、摆动阶段、步长、脚角度和节奏)。结果91名个体(46名AS,45名HC)(年龄/性别/BMI)被纳入我们的研究。AS组和HC组在TUG、节奏、TKS、最大压力、步周期持续时间、摆动阶段、步长、双支撑阶段和足角测量方面存在统计学显著差异(p<0.05)。TKS与AS患者的最大压力、节奏和摆动时相值之间存在显著的负相关(p<0.05)。结论据我们所知,我们的研究是文献中第一次测量AS和HC患者之间的时空参数,并评估它们与运动恐惧症的关系。我们发现,AS患者通过发展一种独特的模式改变了他们的步态阶段,并创建了一个更加谨慎和安全的步态模型,以提供平衡和稳定性。我们的研究揭示了运动恐惧症与疾病活动、功能状态、生活质量、节奏、最大足底压力、摆动阶段和足部角度之间的统计学显著关系。我们在研究中获得的详细数据将为AS患者的步态分析和运动恐惧症研究提供线索。运动恐惧症应在应用于AS患者的常规步态康复方案中进行评估,必要时应增加运动恐惧症的治疗方案。
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引用次数: 0
Systemischer Lupus erythematodes: Biologische Wirkung von Iberdomid 系统衰竭:Iberdomid的生物作用
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-04-01 DOI: 10.1055/a-1950-2783
Systemischen Lupus erythematodes (SLE) wird durch Gene der Immunresponse-Signalwege und dem Major Histocompatibility Complex Klasse I und II beeinflusst. Iberdomid ist ein hochaffiner Cereblon-Ligand, der den proteasomalen Abbau der Transkriptionsfaktoren Ikaros (IKZF1) und Aiolos (IKZF3) fördert. P. E. Lipsky und Kollegen untersuchten nun die Pharmakodynamik und Pharmakokinetik von oral verabreichtem Iberdomid bei Patienten mit SLE.
系统性红斑狼疮(SLE)受免疫反应信号通路和主要组织相容性复合体I和II类基因的影响。Iberdomide是一种高亲和力的蜡样蛋白配体,可促进转录因子Ikaros(IKZF1)和Aiolos(IKZF3)的蛋白酶体降解。P.E.Lipsky及其同事现在研究了口服伊博多胺在SLE患者中的药效学和药代动力学。
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引用次数: 0
Lupusnephritis: Hohe versus mittlere Prednison-Initialdosis 狼疮性肾炎:高剂量与中等剂量泼尼松的初始剂量
IF 0.2 4区 医学 Q4 RHEUMATOLOGY Pub Date : 2023-04-01 DOI: 10.1055/a-1952-2640
Die aktuell gültigen Leitlinien zur Therapie der Lupusnephritis empfehlen zur Remissionsinduktion initial Prednisondosen zwischen 0,3 und 1,0mg/kg pro Tag. Angesichts der damit verbundenen Nebenwirkungen ging ein kanadisches Forscherteam der Frage nach, ob niedrigere Dosen zu ähnlich guten Ergebnissen führen.
目前治疗狼疮性肾炎的指南建议泼尼松的剂量在每天0.3至1.0mg/kg之间,以诱导病情缓解。考虑到相关的副作用,加拿大的一个研究小组调查了较低剂量是否会产生类似的良好结果。
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引用次数: 0
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Aktuelle Rheumatologie
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