Schulich School of Medicine & Dentistry, London, ON, Canada; Western University, London, ON, Canada; Department of Medicine, Division of Rheumatology, St Joseph's Health Care, London, ON, Canada.
Schulich School of Medicine & Dentistry, London, ON, Canada; Western University, London, ON, Canada; Department of Medicine, Division of Rheumatology, St Joseph's Health Care, London, ON, Canada.
Best Pract Res Clin Rheumatol. 2022 Dec;36(4):101822. doi: 10.1016/j.berh.2023.101822. Epub 2023 Mar 10.
For decades, aside from prednisone and the occasional use of immune suppressive drugs such as methotrexate, there was little to offer patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). However, there is a great interest in various steroid sparing treatments in both these conditions. This paper aims to provide an overview of our current knowledge of PMR and GCA, examining their similarities and distinctions in terms of clinical presentation, diagnosis, and treatment, with emphasis placed on reviewing recent and ongoing research efforts on emerging treatment. Multiple recent and ongoing clinical trials are demonstrating new therapeutics that will provide benefit and contribute to the evolution of clinical guidelines and standard of care for patients with GCA and/or PMR.
几十年来,除了泼尼松和偶尔使用甲氨蝶呤等免疫抑制药物外,对于巨细胞动脉炎(GCA)和多发性肌痛(PMR)患者几乎没有什么有效的治疗方法。然而,人们对这两种疾病的各种类固醇保留治疗方法非常感兴趣。本文旨在概述我们目前对 PMR 和 GCA 的认识,从临床表型、诊断和治疗方面探讨它们的异同点,并重点介绍对新兴治疗方法的最新研究进展。多项正在进行的临床试验正在展示新的治疗方法,这些方法将为 GCA 和/或 PMR 患者带来益处,并促进临床指南和治疗标准的演变。