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类风湿关节炎患者合并症及一般内科疾病的管理

Management of co-morbidities and general medical conditions in patients with rheumatoid arthritis.

作者信息

Magnano Molly D, Genovese Mark C

机构信息

Division of Immunology and Rheumatology, Stanford University School of Medicine, Palo Alto, CA 94304, USA.

出版信息

Curr Rheumatol Rep. 2005 Oct;7(5):407-15. doi: 10.1007/s11926-005-0030-y.

Abstract

Rheumatologists, in addition to providing subspecialty care, are frequently called to treat general medical conditions in their patients with rheumatoid arthritis (RA). Co-morbid medical problems are common in the RA population and may require a different approach from standard practice recommendations. In this paper, we review the evaluation and treatment of cardiovascular disease, chronic kidney disease, gastrointestinal disease, depression, and metabolic bone disease in patients with RA. Appreciation of the unique interaction between arthritis and common medical co-morbidities may have a significant impact on management and outcomes of RA.

摘要

除了提供专科护理外,风湿病学家还经常被要求治疗类风湿关节炎(RA)患者的一般医疗状况。共病医疗问题在类风湿关节炎患者中很常见,可能需要采用与标准实践建议不同的方法。在本文中,我们回顾了类风湿关节炎患者心血管疾病、慢性肾病、胃肠道疾病、抑郁症和代谢性骨病的评估和治疗。认识到关节炎与常见医疗共病之间的独特相互作用可能会对类风湿关节炎的管理和治疗结果产生重大影响。

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