Phân loại và phân loại viêm khớp psoriatic

Clinical Rheumatology - Tập 27 - Trang 1211-1216 - 2008
Laura C. Coates1, Philip S. Helliwell1,2
1Section of Musculoskeletal Disease, University of Leeds, Leeds, UK
2Academic Unit of Musculoskeletal and Rehabilitation Medicine, University of Leeds, Leeds, UK

Tóm tắt

Trong hơn 30 năm qua, các nhà nghiên cứu đã sử dụng tiêu chí phân loại đơn giản nhưng chưa được xác thực do Moll và Wright đề xuất. Nhiều tác giả đã đề xuất điều chỉnh những tiêu chí này, nhưng phần lớn vẫn chưa được xác thực hoặc yêu cầu phân tích kháng nguyên bạch cầu người. Hiện nay, một sáng kiến toàn cầu đã phát triển tiêu chí mới bao gồm cả các đặc điểm lâm sàng và hình ảnh học. Những tiêu chí này sẽ cần nghiên cứu thêm trước khi được áp dụng hoàn toàn, nhưng hiệu suất cải thiện của chúng dự kiến sẽ dẫn đến ít biến đổi hơn giữa các nhóm nghiên cứu. Câu hỏi tái diễn về sự không đồng nhất của bệnh vẫn đang chiếm lĩnh mối quan tâm của các nhà nghiên cứu trong lĩnh vực này. Mặc dù gần đây đã có những kêu gọi từ bỏ năm nhóm phụ ban đầu, nhưng có thể lập luận rằng ít nhất nên giữ lại hai nhóm phụ của bệnh ngoại biên và trục, và có thể, tách bệnh ngoại biên thành viêm khớp oligo và poly.

Từ khóa

#viêm khớp psoriatic #phân loại bệnh #đặc điểm lâm sàng #hình ảnh học #không đồng nhất của bệnh

Tài liệu tham khảo

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