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脊柱关节炎临床观察项目:疾病参数、治疗选择及实际管理问题

Clinical observations programme in SpA: disease parameters, treatment options and practical management issues.

作者信息

Elewaut Dirk, Van den Bosch Filip, Verbruggen Gust, de Keyser Filip, Cruyssen Bert Vander, Mielants Herman

机构信息

Department of Rheumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.

出版信息

Rheumatol Int. 2009 Jan;29(3):239-50. doi: 10.1007/s00296-008-0714-5. Epub 2008 Sep 26.

DOI:10.1007/s00296-008-0714-5
PMID:18818924
Abstract

Spondyloarthritides (SpAs) are a cluster of chronic inflammatory rheumatic diseases that typically involve inflammation of axial and peripheral joint or tendon and ligament insertions, distinct radiographic changes and diverse extra-articular features. Conventional treatments relieve the signs and symptoms but do not prevent disease progression. TNFalpha inhibitors provide clinicians with the potential to treat the underlying pathology and to alter disease progression. By targeting the underlying inflammatory mechanisms, TNFalpha blockade can treat any extra-articular manifestations of SpA.

摘要

脊柱关节炎(SpAs)是一组慢性炎症性风湿性疾病,通常累及中轴和外周关节或肌腱及韧带附着点的炎症、独特的影像学改变和多样的关节外表现。传统治疗可缓解体征和症状,但不能阻止疾病进展。肿瘤坏死因子α(TNFα)抑制剂为临床医生提供了治疗潜在病理改变并改变疾病进展的可能性。通过靶向潜在的炎症机制,TNFα阻断可治疗SpA的任何关节外表现。

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Ann Rheum Dis. 2008 Mar;67(3):340-5. doi: 10.1136/ard.2007.075879. Epub 2007 Oct 29.
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Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants.对四种疾病中的14500个非同义单核苷酸多态性进行关联扫描,发现了自身免疫性变异。
Nat Genet. 2007 Nov;39(11):1329-37. doi: 10.1038/ng.2007.17. Epub 2007 Oct 21.
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Differences in the incidence of flares or new onset of inflammatory bowel diseases in patients with ankylosing spondylitis exposed to therapy with anti-tumor necrosis factor alpha agents.
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Arthritis Rheum. 2007 May 15;57(4):639-47. doi: 10.1002/art.22669.
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Osteochondral repair in synovial joints.滑膜关节的骨软骨修复
Curr Opin Rheumatol. 2007 May;19(3):265-71. doi: 10.1097/BOR.0b013e3280be58ff.
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No efficacy of subcutaneous methotrexate in active ankylosing spondylitis: a 16-week open-label trial.皮下注射甲氨蝶呤治疗活动期强直性脊柱炎无效:一项为期16周的开放标签试验。
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