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Correlation between lipid profile and lipoprotein (a) with inflammatory activity of rheumatoid arthritis 脂质谱和脂蛋白(a)与类风湿关节炎炎症活动的相关性
Pub Date : 2019-07-01 DOI: 10.22631/RR.2019.69997.1071
Z. Rezaieyazdi, Marzieh Maghrebi, K. Hashemzadeh, M. Hatef, H. Esmaily, Mandana Khodashahi
Background and Objectives: To assess the correlation between lipoproteins, in particular lipoprotein a [Lp (a)], and inflammatory activity in rheumatoid arthritis (RA).Materials and Methods: In this retrospective case control study which lasted for 6 months, two groups were studied including RA patients (N= 70) and control healthy subjects (N= 52) who were matched by age and gender (P
背景和目的:评估脂蛋白,特别是脂蛋白a [Lp (a)]与类风湿关节炎(RA)炎症活性之间的相关性。材料与方法:在为期6个月的回顾性病例对照研究中,研究对象分为两组:RA患者(N= 70)和健康对照者(N= 52)
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引用次数: 2
Anti-Annexin V and Cardiovascular Risk Factors in Systemic Lupus Erythematosus 抗膜联蛋白V与系统性红斑狼疮心血管危险因素
Pub Date : 2019-07-01 DOI: 10.22631/RR.2019.69997.1076
Z. Rezaieyazdi, Fatemeh Hajizadeh-Saffar, S. Sedighi, H. Mansouritorghabeh
Background and Objective: It has been proposed that anti-annexin V as a novel proposed mechanism for the increased prevalence of atherosclerosis among patients with Systemic Lupus Erythematosus (SLE). Here we aimed to compare anti-annexin V levels between SLE patients and healthy controls and to determine the correlation of anti-annexin with various cardiovascular risk factors. Materials and Method: Sixty patients with SLE and 30 healthy sex and age matched persons included in the current cross sectional study that was selected from outpatient Rheumatology clinics in the city of Mashhad-Iran. Anti-annexin V and the other parameters including cardiovascular risk factors(age, smoking, blood pressure, diabetes mellitus, lipoproteins levels, previous history of documented or clinically suspected atherosclerosis, obesity, premature ovarian failure, high sensitive C-reactive protein, vascular cell adhesion protein 1 and homocystein) measured using enzyme linked immuno-assay. Results: Anti-annexin V had a significant positive correlation with LDL levels in the SLE group (p=0.03). Anti-annexin V levels were not significantly different between the two groups (p=0.40). Conclusion: We could not show the role of anti-annexin V as a predictor of atherosclerosis risk in patients with lupus under study.
背景与目的:抗膜联蛋白V被认为是系统性红斑狼疮(SLE)患者动脉粥样硬化患病率增加的一种新的机制。在这里,我们旨在比较SLE患者和健康对照者的抗膜联蛋白V水平,并确定抗膜联蛋白与各种心血管危险因素的相关性。材料和方法:目前的横断面研究选择了伊朗马什哈德市风湿病门诊60例SLE患者和30例性别和年龄匹配的健康人。抗膜联蛋白V和其他参数,包括心血管危险因素(年龄、吸烟、血压、糖尿病、脂蛋白水平、既往记录或临床怀疑动脉粥样硬化、肥胖、卵巢早衰、高敏感c反应蛋白、血管细胞粘附蛋白1和同型半胱氨酸),使用酶联免疫分析法进行测量。结果:SLE组抗膜联蛋白V与LDL水平呈显著正相关(p=0.03)。两组间抗膜联蛋白V水平差异无统计学意义(p=0.40)。结论:我们不能证明抗膜联蛋白V作为研究中狼疮患者动脉粥样硬化风险的预测因子。
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引用次数: 0
Sexual Dysfunction in Female Scleroderma Patients and Its Correlation with Vascular Involvement 女性硬皮病患者的性功能障碍及其与血管受累的关系
Pub Date : 2019-07-01 DOI: 10.22631/RR.2019.69997.1072
M. Nazarinia, E. Esmaeilzadeh, Zohre Khodamoradi
Objectives: Investigating the sexual dysfunction in scleroderma patients and its relation to their vascular involvements. Method: A case control study was done on 80 married female scleroderma patients with age between 20-60 years old. Eighty normal individuals adjusted for age, place of living and socioeconomic status were also recruited. Sexual performance in both groups was assessed using FSFI standardized questionnaire, which evaluated it in 6 domains of desire, arousal, lubrication, orgasm, satisfaction, and pain. Micro and macro-vascular involvements of the patients were also determined using Raynaud Condition Score, Echocardiography, physical exam for assessing their digital ulcers and reviewing their medical records for past or present history of renal crisis and thromboembolic events. Results: The total score of FSFI in the case group was significantly lower compared to control one (16.68 ± 6.35, 19.69 ± 6.01, P-value
目的:探讨硬皮病患者的性功能障碍及其与血管受累的关系。方法:对80例年龄在20 ~ 60岁的已婚女性硬皮病患者进行病例对照研究。还招募了80名经过年龄、居住地和社会经济地位调整的正常人。使用FSFI标准化问卷对两组的性表现进行评估,该问卷从欲望、唤醒、润滑、性高潮、满意度和疼痛6个方面进行评估。通过雷诺病情评分、超声心动图、评估数字溃疡的体格检查以及回顾患者过去或现在的肾危象和血栓栓塞事件的医疗记录,确定患者的微观和宏观血管受累情况。结果:病例组FSFI总分显著低于对照组(16.68±6.35,19.69±6.01,p值)
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引用次数: 1
mRNA Detection with Fluorescence-base Imaging Techniques for Arthritis Diagnosis. 用荧光基成像技术检测mRNA诊断关节炎。
Pub Date : 2019-07-01 Epub Date: 2019-07-16
Anne Yau, Hongchuan Yu, Yupeng Chen
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引用次数: 0
Evaluation of Mean Platelet Volume in Patients With Rheumatoid Arthritis and its Relation With Severity of Disease 类风湿关节炎患者平均血小板体积的评价及其与疾病严重程度的关系
Pub Date : 2019-07-01 DOI: 10.22631/RR.2019.69997.1075
Mandana Khodashahi, N. Saadati, Z. Rezaieyazdi, M. Sahebari, Z. Saremi
Background and Aims: Rheumatoid arthritis (RA) is the most common chronic inflammatory disease of the joints. To the best of our knowledge, inflammation is considered as the main stimulant of platelets, and there is an association between the mean platelet volume (MPV) and platelet reactivity. Increased platelet counts may be observed during the clinical active stages of RA patients and reduce in the remission period. The present study investigated the role of platelet indices in RA and its relationship with disease activity. Materials and Methods: This was an observational cross-sectional study, which was performed on 105 patients with RA and 35 participants as control group referred to Ghaem hospital of Mashhad in 2017. The participants were divided into 4 groups, including 1) the patients with newly diagnosed RA, 2) the patients with active RA, 3) the patients in remission, and 4) the controls. After completing the interview and questionnaire, 10 cc blood samples were obtained from all the subjects. The platelet number (PLT) and mean platelet volume (MPV) was measured. Results:The mean age of the participants was 49.06±11.08 years. MPV was higher in patients with RA than healthy control group (p
背景与目的:类风湿性关节炎(RA)是关节最常见的慢性炎症性疾病。据我们所知,炎症被认为是血小板的主要刺激物,平均血小板体积(MPV)和血小板反应性之间存在关联。在RA患者的临床活动期可观察到血小板计数增加,缓解期血小板计数减少。本研究探讨血小板指数在类风湿关节炎中的作用及其与疾病活动性的关系。材料与方法:这是一项观察性横断面研究,研究对象为2017年在马什哈德Ghaem医院转诊的105例RA患者和35名对照组。研究对象分为4组:1)新诊断RA患者,2)活动期RA患者,3)缓解期RA患者,4)对照组RA患者。完成访谈和问卷调查后,采集所有受试者血液样本10cc。测定血小板计数(PLT)和平均血小板体积(MPV)。结果:参与者平均年龄为49.06±11.08岁。RA患者的MPV高于健康对照组(p
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引用次数: 2
Association of Vascular Endothelial Growth Factor A gene polymorphisms with susceptibility to Systemic lupus erythematosus in Iranian population 血管内皮生长因子A基因多态性与伊朗人群系统性红斑狼疮易感性的关系
Pub Date : 2019-07-01 DOI: 10.22631/RR.2019.69997.1074
S. Soltani, S. Aslani, S. Faezi, A. Jamshidi, E. Farhadi, M. Mahmoudi
Background: Systemic lupus erythematosus (SLE) is an autoimmune, autoinflammatory disorder in which genetic factors have been implicated in the etiopathogenesis of the disease. Elevated levels of vascular endothelial growth factor (VEGF) have been reported in patients with SLE. This study intended to evaluate the association of VEGFA gene rs833061 and rs2010963 single nucleotide polymorphisms (SNPs) with the risk of SLE susceptibility in the Iranian population.Methods: In this case-control study, 400 SLE patients and 400 age-, sex-, and ethnically-matched healthy controls were recruited. Genotyping of VEGFA gene rs833061 and rs2010963 polymorphisms in both SLE and control groups was done through the real-time PCR allelic discrimination technique.Results: It was detected that none of the alleles nor genotypes of both rs833061 and rs2010963 SNPs had a statistically significant difference between patient and control groups. Moreover, the haplotypes were not associated with the SLE susceptibility. However, rs833061 and rs2010963 polymorphisms were in linkage disequilibrium according to Dꞌ= 95 %, but not according to the r2= 42%. The associations between rs833061 (C vs. T: OR= 0.98, 95% CI= 0.80-1.20, P= 0.87) and rs2010963 (C vs. G: OR= 0.89, 95% CI= 0.73 - 1.09, P= 0.28) with risk of SLE were not significant. The clinical data of the patients, including anti-dsDNA (P= 0.036), anti-SSA (P= 0.039), and anti-SSAB (P= 0.036), were associated with the genotypes of VEGFA gene rs2010963 SNP.Conclusions: We recognize that VEGFA gene rs833061 and rs2010963 polymorphisms did not affect SLE susceptibility in the Iranian population.
背景:系统性红斑狼疮(SLE)是一种自身免疫、自身炎症性疾病,遗传因素与该病的发病机制有关。据报道,SLE患者血管内皮生长因子(VEGF)水平升高。本研究旨在评估伊朗人群中VEGFA基因rs833061和rs2010963单核苷酸多态性(snp)与SLE易感性风险的关系。方法:在这项病例对照研究中,招募了400名SLE患者和400名年龄、性别和种族匹配的健康对照者。采用实时荧光定量PCR等位基因鉴别技术对SLE患者和对照组的VEGFA基因rs833061和rs2010963多态性进行基因分型。结果:检测到rs833061和rs2010963 snp的等位基因和基因型在患者与对照组之间均无统计学差异。此外,单倍型与SLE易感性无关。而rs833061和rs2010963的多态性D = 95%为连锁不平衡,r2= 42%为非连锁不平衡。rs833061 (C vs. T: OR= 0.98, 95% CI= 0.80-1.20, P= 0.87)和rs2010963 (C vs. G: OR= 0.89, 95% CI= 0.73 - 1.09, P= 0.28)与SLE风险的相关性不显著。患者临床数据抗dsdna (P= 0.036)、抗ssa (P= 0.039)、抗ssab (P= 0.036)与VEGFA基因rs2010963 SNP基因型相关。结论:我们认识到VEGFA基因rs833061和rs2010963多态性不影响伊朗人群的SLE易感性。
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引用次数: 2
The Association Between Fibromyalgia and Mechanical Neck Lesions 纤维肌痛与机械性颈部病变的关系
Pub Date : 2019-07-01 DOI: 10.22631/RR.2019.69997.1073
Maryam Haghparast, E. Atabati, Vajihollah Raiisi, Ahmadreza Senzari, Gholamreza Sharifzadeh
Background: Fibromyalgia is a painful syndrome with a non-joint origin. The disease is of relatively high prevalence and is more common in women and people over 40 years of age. Method: In this case-control study, 35 healthy individuals were enrolled as the control group and 35 patients with fibromyalgia as the case group. The cervical MRI was performed for all the participants, and the graphs were interpreted by a specialist who was blind to the patient group.Results: Lesions were severe in 94.3% of the case group, 80% of the controls (P>0.05). Between the groups in the number of involved surfaces and mean lesion levels was no significant difference. In the case and control groups, 48.5% and 92.9% of the members had only one lesion. The rates of concurrent lesions in the case and control groups were 51.5% and 7.1%, (p < 0.001). In 60.6% of the case group and 17.9% of the control group, the lesion was severe (p = 0.001). The prevalence of annular tearing and stenosis of the canal was significantly higher in the case group than in the control group (p = 0.05 and p = 0.044, respectively). However, there was no significant difference between the groups in other lesions.Conclusion: Given the similarity of some of the symptoms in fibromyalgia and mechanical neck lesions, it is crucial to have timely and correct differentiation of these two diseases. Also, these results may suggest that long-term fibromyalgia can potentially exacerbate the symptoms of mechanical neck lesions.
背景:纤维肌痛是一种非关节源性疼痛综合征。这种疾病的患病率相对较高,在妇女和40岁以上的人群中更为常见。方法:采用病例-对照研究方法,选取35例健康人作为对照组,35例纤维肌痛患者作为病例组。所有参与者都进行了颈椎核磁共振成像,图像由一名对患者群体一无所知的专家解读。结果:病例组病变严重率为94.3%,对照组为80% (P>0.05)。两组间受累面数和平均病变程度无显著性差异。在病例组和对照组中,48.5%和92.9%的成员只有一个病变。病例组和对照组并发病变发生率分别为51.5%和7.1%,差异有统计学意义(p < 0.001)。60.6%的病例组和17.9%的对照组病变严重(p = 0.001)。病例组的根管撕裂和根管狭窄发生率明显高于对照组(p = 0.05和p = 0.044)。然而,在其他病变方面,两组间无显著差异。结论:纤维肌痛与机械性颈部病变有一定的相似之处,及时、正确辨证至关重要。此外,这些结果可能表明,长期纤维肌痛可能会加剧机械性颈部病变的症状。
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引用次数: 0
Acute Anterior Uveitis in patients with ankylosing spondylitis in northeast of Iran 伊朗东北部强直性脊柱炎患者的急性前葡萄膜炎
Pub Date : 2019-04-01 DOI: 10.22631/RR.2019.69997.1062
M. Jokar, Mina Jokar
Personal non-commercial use only.Rheumatology Research Journal. Copyright © 2019. All rights reserved *Corresponding Author: Mohammadhassan Jokar, MD; Department of Internal Medicine, Imam Reza Hospital, Mashhad, Iran, Tel/Fax: (+98) 511-8598818 Received: 01 September 2018 ; Accepted: 05 January 2019 Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disorder with variable clinical manifestations. Acute anterior uveitis is the most common extra-articular manifestation of ankylosing spondylitis. This study assessed the prevalence of uveitis in patients with ankylosing spondylitis in Mashhad, Iran. In this retrospective study, the medical records of patients diagnosed with AS between January 1st, 2007 and December 31st, 2017 in a rheumatology clinic in Mashhad, Iran were reviewed. Diagnoses of ankylosing spondylitis were made based on the modified New York criteria. The records of 317 patients were reviewed (81.4% male, 18.6% female, with a male to female ratio of 4.3:1). The mean age at onset of AS was 27.01±8.63 years (minimum 12 years, maximum 55 years). The mean age at diagnosis of AS was 30.72±9.44 years. The mean age at diagnosis of uveitis was 32.40±10.49 years. The mean follow-up period of patients was 6.19±5.51 years. HLA-B27 was positive in 77% of patients. About 14% of patients had uveitis in the mean follow-up period of 6.19±5.51 years. The frequency of uveitis in patients with AS is lower in the study region than in most other regions. Future studies with a prospetive design, randomized patient selection, and lifelong follow up can provide a more accurate description of acute anterior uveitis in patients with AS.
仅供个人非商业用途。风湿病研究杂志。版权所有©2019。*通讯作者:Mohammadhassan Jokar, MD;伊朗马什哈德伊玛目礼萨医院内科,电话/传真:(+98)511-8598818收件日期:2018年9月1日;强直性脊柱炎(AS)是一种具有多种临床表现的慢性炎症性风湿病。急性前葡萄膜炎是强直性脊柱炎最常见的关节外表现。本研究评估了伊朗马什哈德强直性脊柱炎患者葡萄膜炎的患病率。在这项回顾性研究中,回顾了2007年1月1日至2017年12月31日在伊朗马什哈德一家风湿病诊所诊断为AS的患者的医疗记录。强直性脊柱炎的诊断是基于修改后的纽约标准。其中男性81.4%,女性18.6%,男女比例为4.3:1。平均发病年龄27.01±8.63岁(最小12岁,最大55岁)。AS的平均诊断年龄为30.72±9.44岁。葡萄膜炎的平均诊断年龄为32.40±10.49岁。患者平均随访时间为6.19±5.51年。77%的患者HLA-B27呈阳性。平均随访6.19±5.51年,约14%的患者出现葡萄膜炎。AS患者发生葡萄膜炎的频率在该研究地区低于大多数其他地区。未来的研究采用前瞻性设计、随机患者选择和终身随访,可以更准确地描述AS患者的急性前葡萄膜炎。
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引用次数: 2
Periodontitis and rheumatoid arthritis: A neglected association in developing countries 牙周炎和类风湿关节炎:在发展中国家被忽视的关联
Pub Date : 2019-04-01 DOI: 10.22631/RR.2019.69997.1060
Nasibeh Alebooyeh, J. Moghimi, A. Hasani, R. Ghorbani, Golmehr Taheri
1 Faculty of Dentistry, Semnan University of Medical Sciences, Semnan, Iran. 2 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran. 3 Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran. 4 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran. 5 Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran
1塞姆南医科大学牙科学院,塞姆南,伊朗。2塞姆南医科大学健康社会决定因素研究中心,塞姆南,伊朗。3塞姆南医科大学内科学系,塞姆南,伊朗。4塞姆南医科大学健康社会决定因素研究中心,塞姆南,伊朗。5塞姆南医科大学内科学系,塞姆南,伊朗
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引用次数: 1
Causes and types of disease in elderly patients leading to one or multiple hospital admissions in rheumatology wards of southwestern Iran: A 6-year review 伊朗西南部风湿病病房中导致一次或多次住院的老年患者的病因和疾病类型:6年回顾
Pub Date : 2019-04-01 DOI: 10.22631/RR.2019.69997.1059
S. Shenavandeh, E. Sadeghi
Personal non-commercial use only.Rheumatology Research Journal. Copyright © 2019. All rights reserved *Corresponding Author: Saeedeh Shenavandeh, MD, Department of internal medicine, division of rheumatology Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran. Email: shenavande@sums.ac.ir, Tel/Fax: (+98)713-6474316 Po Box: 71345-1414. Received: 12 April 2018 ; Accepted: 20 November 2018 The physiological changes associated with aging and the presence of comorbid diseases may complicate the treatment of elderly patients with rheumatic diseases. This study aimed to determine the prevalence and main causes of admissions of elderly patients to rheumatology wards and the number and duration of their hospitalizations. Data was collected on patients aged ≥ 60 who were admitted to rheumatology wards from 2008 to 2013. To make a good comparison, the last diagnoses of younger patients admitted to these wards were also recorded. In the elderly group, the records of 399 patients admitted to hospitals with a flare-up of a new or known case of rheumatoid arthritis (RA) were compared with those of 480 young patients. No significant difference was seen between these two groups in the duration of hospital stay. In the elderly group, hypertension (62.4%) was the most common comorbidity. The presence of psychiatric problems showed a significant association with the number of admissions (P value=0.037) as well as patients receiving infliximab, rituximab, and IV IG (P value=<0.001). Recurrent admissions were seen mostly in patients with psoriatic arthritis (PsA), polymyositis, and Behçet’s disease. Flare-ups or new diagnoses of RA were the most prevalent causes for the admission of elderly patients to rheumatology wards. Recurrent admissions were seen mostly in patients with PsA and were associated with the presence of psychiatric problems and a need for IV medications. The results highlight the need for healthcare centers to support outpatient clinics for elderly patients.
仅供个人非商业用途。风湿病研究杂志。版权所有©2019。*通讯作者:Saeedeh Shenavandeh医学博士,设拉子医科大学风湿病科内科,Namazee医院,设拉子,伊朗。邮箱:shenavande@sums.ac.ir,电话/传真:(+98)713-6474316邮箱:71345-1414。收稿日期:2018年4月12日;衰老相关的生理变化和合并症的存在可能使老年风湿病患者的治疗复杂化。本研究旨在了解风湿病病房老年患者的患病率、入院原因、住院次数和住院时间。数据收集于2008年至2013年在风湿病病房住院的年龄≥60岁的患者。为了更好地进行比较,这些病房的年轻患者的最后诊断也被记录下来。在老年组中,399名因新发或已知的类风湿性关节炎(RA)发作而入院的患者与480名年轻患者的记录进行了比较。两组患者住院时间差异无统计学意义。在老年组中,高血压(62.4%)是最常见的合并症。精神问题的存在与入院人数(P值=0.037)以及接受英夫利昔单抗、利妥昔单抗和静脉IG治疗的患者(P值=<0.001)显著相关。复发入院主要见于银屑病关节炎(PsA)、多发性肌炎和behet病患者。突发或新诊断的类风湿性关节炎是最普遍的原因入院的老年患者风湿病病房。复发入院主要见于PsA患者,并且与存在精神问题和需要静脉注射药物有关。研究结果强调了医疗保健中心支持老年患者门诊的必要性。
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引用次数: 0
期刊
Journal of rheumatology research
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