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未满足的需求在抗中性粒细胞胞浆抗体相关性血管炎:医生和患者的观点。

Unmet needs in ANCA-associated vasculitis: Physicians' and patients' perspectives.

机构信息

Division of Rheumatology, Department of Medicine, University of Udine, Azienda Sanitaria Universitaria del Friuli Centrale, Udine, Italy.

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

出版信息

Front Immunol. 2023 Feb 23;14:1112899. doi: 10.3389/fimmu.2023.1112899. eCollection 2023.

Abstract

In recent years, clinical research has increased significantly and therapies for antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis have improved. However, there are still unanswered questions and unmet needs about AAV patients. The purpose of this review is to examine the frontiers of research related to emerging biomarkers eventually predicting relapse, and new therapeutic approaches, not to mention new quality of life assessment tools. Identifying predictors of relapse may help optimize therapeutic strategies, minimize disease recurrence, and reduce treatment-related side effects. In addition, it is important to recognize that patients may suffer long-term consequences of the disease and its treatment, which, although life-saving, is often associated with significant side effects. Our goal, therefore, is to highlight what has been achieved, the pitfalls, and what still needs to be done, comparing the views of physicians and patients.

摘要

近年来,临床研究显著增加,抗中性粒细胞胞质抗体(ANCA)相关性血管炎的治疗也得到了改善。然而,AAV 患者仍有许多悬而未决的问题和未满足的需求。本综述的目的是探讨与新兴生物标志物相关的研究前沿,这些标志物最终可预测复发,并探讨新的治疗方法,更不用说新的生活质量评估工具了。识别复发的预测因子可能有助于优化治疗策略,最大限度地减少疾病复发,并减少治疗相关的副作用。此外,重要的是要认识到,患者可能会遭受疾病及其治疗的长期后果,尽管这些治疗可以挽救生命,但往往会伴随严重的副作用。因此,我们的目标是突出已经取得的成就、存在的缺陷以及仍需要做的工作,并比较医生和患者的观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb38/9995379/c79f96015b11/fimmu-14-1112899-g001.jpg

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