Geschlechtsspezifische Unterschiede in Diagnostik, Therapie und Versorgung bei Patient*innen mit axialer Spondyloarthritis

ZUSAMMENFASSUNG

Bei der axialen Spondyloarthritis gibt es geschlechtsbezogene Unterschiede bei verschiedenen Aspekten der Erkrankung. Patientinnen werden später als Patienten diagnostiziert, müssen mehr Arztbesuche in Kauf nehmen, haben weniger häufig eine röntgenologische Progression hin zur radiografischen axialen Spondyloarthritis, haben mehr und ausgedehntere Schmerzen und leiden häufiger unter peripherer Arthritis und Enthesitis. Sie haben in der Bildgebung mehr Differenzialdiagnosen. In der Therapie sprechen Frauen weniger gut an als Männer und verbleiben auf Therapien weniger lange. Frühere Diagnose, besseres Erkennen der Symptome und eine frühe Einleitung der Therapie könnten die Situation verbessern.

Schlüsselwörter

Geschlecht - Klinik - Diagnostik - Therapie - Outcome

Publication History

Article published online:
28 February 2024

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