男性和女性硬皮病患者:巴西样本比较研究。

IF 1.1 Q4 RHEUMATOLOGY Archives of rheumatology Pub Date : 2023-08-18 eCollection Date: 2023-12-01 DOI:10.46497/ArchRheumatol.2023.10011
Matheus Costa, Igor Jorge, Patricia Martin, Renato Nisihara, Thelma Skare
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摘要

研究目的本研究旨在通过比较女性和男性,评估系统性硬化症(SSc)的临床和血清学特征:这项回顾性研究的对象是 2005 年 9 月至 2020 年 9 月期间的 215 名 SSc 患者(女性 193 人,男性 22 人;平均年龄:50.1±14.5 岁;年龄范围:16 至 88 岁)。疾病严重程度按 Medsger 严重程度评分计算。比较了男性和女性的临床和血清学指标:结果:女性更常见食管受累(p=0.003)、毛细血管扩张(p=0.03)和抗核抗体(p=0.04)。男性更常出现指尖疤痕(p=0.03)、数字溃疡(p=0.006),中位数Medsger严重程度评分更差(男性6分,女性4分,p=0.05):结论:在研究样本中,男性比女性病情更严重,对周围循环系统的影响更大。
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Males and females with scleroderma: A comparative study in a Brazilian sample.

Objectives: This study aimed to evaluate the clinical and serological profile in systemic sclerosis (SSc) by comparing females and males.

Patients and methods: This retrospective study was conducted with 215 SSc patients (193 females, 22 males; mean age: 50.1±14.5 years; range, 16 to 88 years) between September 2005 and September 2020. Disease severity was calculated by the Medsger severity score. Males and females were compared for clinical and serological markers.

Results: Females more frequently had esophageal involvement (p=0.003), telangiectasias (p=0.03), and antinuclear antibodies (p=0.04). Males more frequently had fingertip scars (p=0.03), digital ulcers (p=0.006), and a worse median Medsger severity score (6 in males vs. 4 in females, p=0.05).

Conclusion: In the studied sample, males had more severe disease than females with greater repercussions in periferic circulatory system.

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