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Digital Clubbing Is Associated with Higher Serum KL-6 Levels and Lower Pulmonary Function in Patients with Interstitial Lung Disease

机译:间质性肺疾病患者数字棍打与血清KL-6水平升高和肺功能降低相关

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Background. Although digital clubbing is a common presentation in patients with interstitial lung disease (ILD), little has been reported regarding its role in assessing patients with ILD. This study evaluated patients with ILD for the presence of clubbing and investigated its association with clinical data. Methods. We evaluated patients with ILD who visited the teaching hospital at which the study was conducted, between October 2014 and January 2015. Clubbing, evaluated using a Vernier caliper for individual patients, was defined as a phalangeal depth ratio??1. We examined the association of clubbing with clinical data. Results. Of 102 patients with ILD, we identified 17 (16.7%) with clubbing. The partial pressure of oxygen in arterial blood was lower (65.2?±?5.9?mmHg versus 80.2?±?3.1?mmHg; ), serum Krebs von den Lugen-6 (KL-6) levels were higher (1495.0?±?277.4?U/mL versus 839.1?±?70.2?U/mL; ), and the percent predicted diffusing capacity of carbon monoxide was lower (50.0?±?6.0 versus 73.5?±?3.1; ) in these patients with clubbing. Conclusions. Patients with clubbing had lower oxygen levels, higher serum KL-6 levels, and lower pulmonary function than those without clubbing.
机译:背景。尽管数字俱乐部是间质性肺疾病(ILD)患者的常见表现,但关于其在评估ILD患者中的作用的报道很少。这项研究评估了ILD患者是否存在杵状指,并将其与临床数据相关联。方法。我们评估了在2014年10月至2015年1月期间访问研究所在的教学医院的ILD患者。使用Vernier卡尺针对个别患者进行评估的杵状指被定义为指骨深度比≥1。我们检查了俱乐部与临床数据的关联。结果。在102名ILD患者中,我们发现17名(16.7%)患有杵状指。动脉血中的氧分压较低(65.2±±5.9?mmHg对80.2±±3.1?mmHg;),血清Krebs von den Lugen-6(KL-6)水平较高(1495.0±±277.4) ?U / mL对839.1?±?70.2?U / mL;),并且这些患有杵状指状病变的患者预测的一氧化碳扩散能力百分比较低(50.0?±?6.0对73.5?±?3.1;)。结论。与没有棍棒的患者相比,棍棒患者的氧气含量更低,血清KL-6水平更高,肺功能更低。

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