Burner Todd W, Rosenthal Ann K
Division of Rheumatology, Department of Medicine, Medical College of Wisconsin, Zablocki VA Medical Center, Milwaukee, Wisconsin 53295-1000, USA.
Curr Opin Rheumatol. 2009 Jan;21(1):50-4. doi: 10.1097/BOR.0b013e32831bc0c4.
This review summarizes recent advances in the field of diabetes and rheumatic disease. These conditions exert a significant healthcare burden on our society and much remains to be learned regarding their pathophysiology and treatment.
We summarize new insights into diabetes and its association with osteoarthritis, rheumatoid arthritis, carpal tunnel syndrome, osteoporosis, diffuse idiopathic skeletal hyperostosis, crystalline arthropathy, neuropathic arthropathy, and tendinopathy. Diabetes has major effects on connective tissues, which have significant impact on both the development and outcome of these diseases of cartilage, bone, ligament, and tendon. An improved understanding of the mechanisms through which diabetes alters connective tissue metabolism should lead to better preventive and therapeutic interventions.
Incremental progress has been made in understanding the interactions between diabetes and common musculoskeletal syndromes. Although this review highlights exciting areas of future interest, more work in this field is certainly warranted.
本综述总结了糖尿病与风湿性疾病领域的最新进展。这些疾病给我们的社会带来了沉重的医疗负担,关于它们的病理生理学和治疗仍有许多有待了解之处。
我们总结了关于糖尿病及其与骨关节炎、类风湿关节炎、腕管综合征、骨质疏松症、弥漫性特发性骨肥厚、晶体性关节病、神经性关节病和肌腱病之间关联的新见解。糖尿病对结缔组织有重大影响,而结缔组织对这些软骨、骨骼、韧带和肌腱疾病的发生发展及预后均有显著影响。对糖尿病改变结缔组织代谢机制的进一步了解应能带来更好的预防和治疗干预措施。
在理解糖尿病与常见肌肉骨骼综合征之间的相互作用方面已取得了渐进式进展。尽管本综述突出了未来令人感兴趣的领域,但该领域肯定仍需要开展更多工作。