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Osteoarthritis: A progressive disease with changing phenotypes

机译:骨关节炎:表型改变的进行性疾病

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OA is a progressive disease that affects all joint structures. OA is not a unique disease, but is a heterogeneous syndrome with different clinical phenotypes that continuously evolve, eventually leading to common clinical manifestations. The clinical expression of a certain phenotype depends on the main underlying pathway and predominant joint tissue involved at a point in time [1]. Moreover, OA should also be examined as a joint disease along with other comorbidities. These comorbidities are not exclusive and several of them may arise in the same patient, modulating the OA process. Although our goal is to have clear OA phenotypes, all these factors make appropriate classification and identification of phenotypes of OA difficult in clinical studies or in clinical practice. Thus a better subgrouping of OA is important, especially when several processes may overlap and various tissues are dominant during different phases of the disease.
机译:OA是一种累及所有关节结构的进行性疾病。 OA不是一种独特的疾病,而是一种具有不断发展的不同临床表型的异质综合症,最终导致常见的临床表现。某种表型的临床表达取决于某个时间点的主要潜在通路和主要的关节组织[1]。此外,OA也应与其他合并症一起作为关节疾病进行检查。这些合并症不是排他性的,同一患者可能会出现几种合并症,从而调节OA进程。尽管我们的目标是拥有清晰的OA表型,但所有这些因素使得在临床研究或临床实践中难以对OA表型进行适当的分类和鉴定。因此,OA的更好的亚组很重要,尤其是在疾病的不同阶段可能发生多个过程重叠且各种组织占主导的情况下。

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