Psoriatic arthropaty - chronic, autoimmunive, progressing and 30% of all cases deformating joints severe psoriasis illness, that causes disability. The aim of the research: To analyse the patients with psoriatic arthritis who were hospitalised in Vilnius University Santariskiu Clinics Centre of Dermatoveneorology during the year of 2013. Methodology: Retrospective analysis was performed for patients with psoriasis and psoriatic arthritis who were hospitalised in VUH SC Centre of Dermatovenerology during the year of 2013. We have evaluated patients diagnosed with psoriasis and psoriatic arthritis, their sex, age, lenght of the illness, age of diagnosing psoriasis, severity according PASI, joint infingements, complaints, treatment, disability and level of work abilities. Data analysis was made using ‚‘Excel‘‘ statistical software. Results: Totally 651 patients were treated in Centre of Dermatovenereology during the year of 2013. 291 (45%) patients were hospitalised with diagnosis of psoriasis, 121 (42%) of them were also diagnosed with psoriatic arthritis. At the age group to 25 years old 29 (10%) patients were diagnosed with psoriatic arthritis. There were 182 (63%) patients at the age group between 25 and 60 years old with psoriatic arthritis. Over 60 years old there were 79 (27%) patients suffering from psoriatic arthritis. Average lenght of psoriasis in hospitalised patients was 20 years, average age of patients when first time diagnosed with psoriasis was 29 years. The average meaning of PASI was 22. Patients diagnosed with psoriatic arthritis most oftenly complained of these joint pains: ankles and knees - 61 patient (52%), palm joints - 56 (50%), feet - 39 (33%), wrists - 28 (24%), elbows and spine - 27 (23%), shoulders - 21 (18%), hips - 18 (15%), palm fingers - 12 (10%). Systemic treatment was applied totally for 82 (28%) hospitalised patients: 54 (19%) were prescribed methotrexate, 26 (9%) patients - systemic corticosteroids, 2 (1%) patients - biological therapy with etanercept. 186 (77%) patients with severe psoriasis are hospitalised in average 1,1 time per year, remision remains 0,5 to 1 year. At least 25% hospitalised with psoriasis or psoriatic arthritis have disability, their work posibilities are reduced to 50%. Conclusions: According to research during the year of 2013 there were hospitalised 121 patients with diagnosis of psoriatic arthritis. Even 30% of them had joint infringements and severe course of the illness that caused disability. Most of them psoriatic arthritis occured at the young and working age. Evaluating severity of the psoriasis we discovered that 69% patients hospitalised in 2013 had PASI higher than 15. In Lithuania there is possible to get appropriate treatment for psoriasis and psoriatic arthritis. It is aproved that applying correct treatment patients can reduce symptoms and maintain their physical abbilities.
SANTRAUKAReikšminiai žodžiai: skrandžio urvo kraujagyslių ektazija, lėtinė inkstų liga, dializė. Skrandžio urvo kraujagyslių ektazija yra reta polietiologinė skrandžio gleivinės ir kraujagyslių patologija, neretai sukelianti gyvybei pavojingą kraujavimą. Ši liga dažnai pasitaiko pacientams, sergantiems sistemine skleroze, kepenų ciroze ar Sjogreno sindromu. Pastebėta, jog sergantieji lėtine inkstų liga dažniau susiduria su kraujavimu dėl skrandžio urvo kraujagyslių ektazijos. Šiame straipsnyje aprašomas klinikinis atvejis apie 66 metų pacientę, sergančią 5 stadijos lėtine inkstų liga bei skrandžio urvo kraujagyslių ektazija. Per vienerius metus pacientei dėl kraujavimo iš kraujagyslių ektazijų atliktos 4 argono plazmos koaguliacijos. Nepaisant hemodializių, pacientei atsinaujindavo kraujavimas iš viršutinio virškinamojo trakto. ABSTRACTKey words: gastric antral vascular ectasia, chronic kidney disease, dialysis. Gastric antral vascular ectasia is recognised as a rare cause of upper gastrointestinal bleeding. Gastric antral vascular ectasia is often found in patients with systemic sclerosis, cirrhosis of the liver or Sjogren's syndrome. Additionally, it was observed that patients with chronic renal diseases are more tend to have gastric antral vascular ectasia. We present a case of 66 year old woman with stage 5 of chronic renal disease, undergoing dialysis for 3 years and suffering from recurring gastrointestinal bleeding caused by Gastric antral vascular ectasia. The patient was treated with Argon plasma coagulation overall 4 times in 1 year period, the dialysis were proceeded on. Despite of dialysis treatment, the patient suffered from renewed Gastric antral vascular ectasia and upper gastrointestinal bleeding. ĮVADASSkrandžio urvo kraujagyslių ektazija (angl. "Gastric antral vascular ectasia", GAVE) -tai reta skrandžio gleivinės ir kraujagyslių liga, sukelianti ūmų arba lėtinį kraujavimą iš viršutinio virškinamojo trakto. Apskaičiuota, jog skrandžio urvo kraujagyslių ektazija gali lemti net 4 proc. retų kraujavimų iš viršutinio virškinamojo trakto. Statistiškai dažniau skrandžio urvo kraujagyslių ektazija serga vyresnės nei 70 metų moterys [1].Neretai skrandžio urvo kraujagyslių ektazija diagnozuojama pacientams, sergantiems cukriniu diabetu, sistemine skleroze, Sjogreno sindromu, pirmine biliarine ciroze arba Reynauld fenomenu. Manoma, jog skrandžio urvo krauja-
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.