Fibromialgia Les Cuesta Caro pessoas com doença inflamatória da espinha dorsal

Os pacientes com espondiloartrite axial, o que afeta a coluna vertebral, muitas vezes são afetados pela fibromialgia, agravando o impacto da doença sobre a sua qualidade de vida.
Embora a saúde física e psicológica é afetado, a presença de fibromialgia, não afetou os níveis de inflamação, ou a maioria dos sintomas da doença não relacionada com a espinha.

O estudo, “a co-ocorrência de espondiloartrite axial e fibromialgia: resultados de um registro nacional (BSRBR-AS)” foi apresentado na 2017 Reunião de Reumatologia, realizado de 25 a 27 de abril, em Birmingham, Inglaterra.
O espondiloartrite axial é uma condição em que a inflamação na coluna faz com que algumas vértebras para fundir, fazendo com que o paciente a tomar uma posição dobrada.
Ao contrário da fibromialgia, da doença é mais comum nos homens.
Os médicos têm observado que a fibromialgia às vezes aparece entre estes pacientes, até agora as duas condições não tinha sido parte de um estudo conjunto.

Uma equipa de investigação da Universidade de Aberdeen, no Reino Unido recrutaram pacientes da Sociedade Britânica de Reumatologia Register Biológica para Espondilite Anquilosante (BSRBR-AS).
Desde 2015, os pacientes incluídos no registro são também examinados para fibromialgia.
Dos 886 pacientes incluídos no estudo, 69% eram do sexo masculino e 17,7%, ou um em cada seis foram diagnosticados com fibromialgia.
Os pacientes incluídos tinha recentemente iniciado anticorpos tratamentos contra o factor de necrose tumoral (TNF), para trabalhar a inflamação, ou que nunca tinham usado qualquer agente biológico.

Aqueles com espondilite axial , e fibromialgia, obtida a pontuação mais alta em termos de avaliação da gravidade, e o impacto da condição da coluna vertebral.
Eles também foram mais propensos a ter ansiedade, depressão e fadiga significativa.
Também eles obtiveram as menores pontuações em medidas relativas à qualidade de vida pontuação.
Enquanto apenas 3% de pacientes espondiloartrite axiais disse a faltar ao trabalho foi o resultado da sua condição, 17% das pessoas com ambas as condições relatadas absentismo.

Quando eles trabalham, 52% dos doentes de fibromialgia disse seu trabalho deteriorou-se por cerca de metade.
Em contraste , o número de pacientes com espondiloartrite sem fibromialgia foi de 23% na mesma situação.
Os níveis de CRP , um marcador de inflamação – foram semelhantes nos dois grupos de pacientes.
O único não – sintoma da coluna vertebral, que foi mais comum entre pessoas com fibromialgia foi articulações inchadas.

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