Department of Rheumatology, Weill Cornell Medical College, Hospital for Special Surgery, New York, NY 10021, USA.
Rheum Dis Clin North Am. 2013 Aug;39(3):547-66. doi: 10.1016/j.rdc.2013.03.007.
Increased awareness of the need for early diagnosis of rheumatoid arthritis and advances in the ability to effectively treat rheumatoid arthritis have made disease remission and maintenance of function a reality for many patients. However, identification of patients who are at risk for erosive disease remains a challenge. As more is learnt about risk factors for disease severity and the role of imaging techniques such as ultrasound and magnetic resonance imaging, the ability to prevent disease progression in the form of joint damage and its attendant deformity and functional limitation will further improve.
人们越来越意识到早期诊断类风湿关节炎的必要性,并且在有效治疗类风湿关节炎方面也取得了进展,这使得许多患者能够实现疾病缓解和保持功能。然而,识别出患有侵蚀性疾病风险的患者仍然是一个挑战。随着对疾病严重程度的危险因素以及超声和磁共振成像等影像学技术作用的了解不断增加,以防止关节损伤及其伴随的畸形和功能受限形式出现疾病进展的能力将进一步提高。