Akciğer Tutulumu Olan Sistemik Skleroz Hastalarında Sınırlı Eklem Hareketliliğinin Değerlendirilmesi

Öz

Giriş ve Amaç: Bozulmuş el fonksiyonu, sistemik skleroz (SSk) hastaların işlevselliği ile ilgili yaşam kalitesini bozar. Çalışmanın amacı, akciğer tutulumu olan SSk hastalarında elin sınırlı eklem hareketliliğini (LJM) değerlendirmektir. Gereç ve Yöntemler: 42 SSk hastası, LJM "dua işareti" testi kullanılarak değerlendirildi ve LJM pozitif ve LJM negatif hastaların demografik özellikleri (cinsiyet, yaş ve hastalık süresi), laboratuvar sonuçları (ESH, CRP, ANA, anti-topoizomeraz I ve anti-sentromer) ve modifiye Rodnan cilt skoru (mRss) sonuçları karşılaştırıldı. Bulgular: Toplam 42 (K=37, E=5) hasta (sınırlı kutanöz SSk (skSSk=12), diffüz kutanöz SSk (dkSSk=30)) bu çalışmaya dahil edildi ve %59,5'inde (skSSk =3, dkSSk =22) LJM pozitifliği saptanmıştır. LJM varlığı, skSSk ve dkSSk hastaları arasında istatistiksel olarak anlamlı bir farklılık gösterdi (p=0,006). LJM (+) hastaların mRss ortalaması LJM (-) hastalara göre anlamlı derecede yüksekti (p<0,001). Ayrıca, LJM (+) hastalarda DLCO oranları ve 6 dakika yürüme testi mesafeleri anlamlı derecede düşüktü (sırasıyla; p=0,021 ve p=0,004). Sonuç: Çalışmamızda, akciğer tutulumu olan SSk hastalarında LJM'nin mRss ile korele olduğu ve dkSSk hastaların daha yüksek LJM oranına sahip olduğu sonucuna vardık. "Dua işareti" testi günlük pratikte kolaylıkla uygulanabilir.

Anahtar Kelimeler

• Sistemik skleroz
• dua işareti
• sınırlı eklem hareketliliği
• interstisyel akciğer hastalığı

Evaluation of Limited Joint Mobility in Systemic Sclerosis Patients with Pulmonary Involvement

Öz

Aim: Systemic sclerosis (SSc) patients' functional quality of life is negatively impacted by impaired hand function. The aim of the study was to evaluate limited joint mobility (LJM) of the hand in SSc patients with lung involvement. Method: The research comprised 42 participants with SSc. LJM had an evaluation using the "prayer sign" exam. The demographic information (gender, age, and length of disease) as well as the laboratory results (ESR, CRP, anti-nuclear antibody (ANA), anti-topoisomerase I, and anti-centromer) and results of the modified Rodnan skin score (mRss) were compared between LJM (+) and LJM (-) patients. Results: This study comprised 42 (F=37, M=5) individuals with limited cutaneous SSc (lcSSc=12) and diffuse cutaneous SSc (dcSSc=30). Of them, 59.5% (lcSSc=3, dcSSc=22) tested positive for LJM. Depending on whether LJM was present, there was a statistically significant difference (p=0.006) between individuals with lcSSc and dcSSc. Patients with LJM+ had greater mean mRss (p<0.001). DLCO ratios and 6-minute walk test distances were significantly lower in LJM (+) patients (p=0.021 and p=0.004, respectively). Conclusion: In our study, we concluded that LJM correlated with mRss in SSc patients with lung involvement and that patients with dcSSc had a higher rate of LJM. The "prayer sign" test can be easily applied in daily practice.

Anahtar Kelimeler

• Systemic sclerosis
• prayer sign
• limited joint mobility
• interstitial lung disease

Kaynakça

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