强直性脊柱炎的最新进展
Update on Axial Spondyloarthritis.
机构信息
Rheumatologist, and practices in Springfiield, Missouri. She is also Adjunct Clinical Faculty at Missouri State University and Missouri Medicine Editorial Board member for Rheumatology.
Physician Assistant in Springfield, Missouri.
出版信息
Mo Med. 2022 Jan-Feb;119(1):79-83.
Abstract
Understanding of the spondyloarthritis diseases has changed significantly in the last 15 years. It is now clear that there are patients with and without radiographic changes and the terminology has changed to reflect that: radiographic axial spondyloarthritis and non-radiographic axial spondyloarthritis. In addition, the importance of the presence of inflammatory back pain with spondyloarthritis in making the diagnosis is now well established. It is also clear that women are much more likely to develop axial spondyloarthritis than previously thought. Finally, there are treatments now available to treat axial spondyloarthritis and more hopefully to be approved in the next year.
摘要
在过去的 15 年中，人们对脊柱关节炎疾病的认识发生了重大变化。现在很清楚，有些患者有放射影像学改变，有些则没有，术语也随之改变：放射影像学中轴型脊柱关节炎和非放射影像学中轴型脊柱关节炎。此外，现在已经明确，脊柱关节炎患者出现炎性背痛对于诊断具有重要意义。同样清楚的是，女性患中轴型脊柱关节炎的可能性比以前认为的要大得多。最后，现在有治疗中轴型脊柱关节炎的方法，而且有望在明年有更多的方法获得批准。
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2
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Arthritis Rheumatol. 2019 Oct;71(10):1599-1613. doi: 10.1002/art.41042. Epub 2019 Aug 22.
3
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