Коморбідна патологія у хворих на ревматоїдний артрит

Abstract

Изучены частота и структура коморбидной патологии у 102 больных ревматоидным артритом (РА). Показано, что у 95,1 % пациентов имелось сочетание РА с другими заболеваниями. В структуре коморбидных состояний преобладала сердечно-сосудистая (54,8 %), а также эндокринная патология (19,6 %) и хронические вирусные гепатиты (11 %). Среди сердечно-сосудистой патологии первое место занимала гипертоническая болезнь (42,1 %).

Comorbidity in rheumatoid arthritis (RA) is one of the most urgent problems of modern rheumatology. For example, 58% of patients with RA have at least one concomitant disease, and 25% — more comorbidities.To study the frequency and structure of comorbid disease in patients with RA. We examined 102 patients with RA at the age of 28 to 82 years (mean age — (53.6±1.26) years), of whom women — 88 (86.3%) people, males — 14 (13.7%) people.In 95.1% of patients there were revealed RA combination with other diseases. Cardiovascular pathology was diagnosed in 54.8% of patients and is the first among comorbid diseases. In the structure of comorbid conditions hypertension prevailed (42.1% of patients). Pathology of the thyroid gland took the second place in the structure of comorbidity in RA and was diagnosed in 19.6% of patients, most of whom were middle-aged women — 31.8%. Chronic viral hepatitis was diagnosed in 11%, including 10% — chronic viral hepatitis C, 1% — chronic viral hepatitis B.