Yos Ellen, Hines Emily, Thomas Mary Therese, Angeles Christine M, Chetrit David A
Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.
Rheumatology, Carolina Health Specialists, Myrtle Beach, USA.
Cureus. 2024 Sep 14;16(9):e69401. doi: 10.7759/cureus.69401. eCollection 2024 Sep.
Rheumatoid arthritis (RA) is a chronic inflammatory joint disease that results in cartilage and bone damage, primarily involving synovial joints. The hallmark feature of this condition is inflammatory polyarthritis which can be associated with other joint pathologies, including bursitis. Many treatment options help relieve joint pain and slow down damage to the joints in both RA and bursitis. However, not all treatments are effective or affordable. These treatments include non-steroidal anti-inflammatory drugs (NSAIDs), biologic disease-modifying antirheumatic drugs (bDMARDS), conventional DMARDS (cDMARDS), and corticosteroids. This is a case of trochanteric bursitis in the setting of RA, which was subjectively and objectively treated using the histamine receptor antagonist fexofenadine.
类风湿性关节炎(RA)是一种慢性炎症性关节疾病,会导致软骨和骨损伤,主要累及滑膜关节。这种病症的标志性特征是炎症性多关节炎,它可能与其他关节病变相关,包括滑囊炎。许多治疗方法有助于缓解RA和滑囊炎患者的关节疼痛,并减缓关节损伤。然而,并非所有治疗方法都有效或价格可承受。这些治疗方法包括非甾体抗炎药(NSAIDs)、生物性改善病情抗风湿药(bDMARDs)、传统改善病情抗风湿药(cDMARDs)和皮质类固醇。这是一例在RA背景下发生的转子滑囊炎病例,使用组胺受体拮抗剂非索非那定进行了主观和客观治疗。