普通人群中抗Ro/SSA和抗La/SSB自身抗体与妊娠结局的关系

Georgios Dragoutsos, Christina Tsiggalou, Efthymios Oikonomou, Anastasia Bothou, Grigorios Trypsiannis, Konstantinos Nikolettos, Christos Damaskos, Nikolaos Garmpis, Dimitrios Kyriakou, Theopi Nalbanti, Georgios Iatrakis, Nikolaos Nikolettos, Panagiotis Tsikouras
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摘要

背景:自身免疫性疾病包括一系列干扰免疫系统最佳功能的疾病,免疫系统的最佳功能是消除 "外来或/和危险",而不是错误地针对人体自身组织:本研究旨在评估在妊娠期管理自身免疫性疾病的最有效方法:这些疾病的确切原因和病因是多因素的,大多数情况下仍不清楚。Ro/SSA自身抗体和La/SSB可在Sjögren病(SJ)、系统性红斑狼疮(SLE)和其他自身免疫性疾病中发现。吸烟、压力、紫外线照射、维生素 D 缺乏以及其他遗传和环境因素已被确定为风湿性疾病的风险因素:结果:多年来,人们发现这些疾病在普通人群中的发病率越来越高,其中女性的发病风险更高。这一事实提出了一个问题,即在怀孕期间应如何处理这些病理实体。考虑到自身免疫性疾病对患者日常生活质量的重大影响、其发病率似乎增高以及女性人群的偏好,我们有理由提出这样一个问题,即在妊娠期应如何对这些疾病进行最佳治疗:鉴于全球医学界关于风湿病的病因和发病机制的数据有限,孕妇的治疗是一个复杂的难题,医护人员面临着解决这一难题的挑战。
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Association of Anti-Ro/SSA and Anti-La/SSB Autoantibodies With Pregnancy Outcome in the General Population.

Background: Autoimmune diseases encompass a diverse array of disorders that disturb the optimal functioning of the immune system, which is to eliminate the 'foreign or/and dangerous' to mistakenly target the body's own tissues.

Objective: The aim of this research is to evaluate the most effective approach to managing autoimmune diseases within the framework of pregnancy.

Methods: The exact causes and etiologies of these diseases are multifactorial and mostly still unclear. Ro/SSA autoantibodies and La/SSB, could be found in Sjögren's disease (SJ), systemic lupus (SLE) and other autoimmune disorders. Smoking, stress, UV exposure, vitamin D deficiency, and other genetic and environmental factors have been identified as risk factors for rheumatic diseases.

Results: Over the years, an ever-increasing incidence of these diseases has been observed in the general population, with the female sex being at increased risk for their occurrence. This fact raises the question of what should be the management of these pathological entities during pregnancy. Taking into account the very significant impact on the quality of paitients'daily life and the seemingly augmented prevalence of autoimmune diseases, as well as their preference in the female population, the reasonable question arises as to what should be the optimal management of these diseases in the context of pregnancy.

Conclusion: Given the limited data of the global medical community regarding the etiological factors and mechanisms that trigger the onset of rheumatic diseases, the management of pregnant women is a complex conundrum that health professionals are challenged to face and solve.

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