A Deep Insight on Rheumatoid Arthritis, Indexes (Disease Activity Score 28 (DAS28), ESR, CRP, Simplified Disease Activity Index (SDAI), Clinical Disease Activity Index (CDAI), Patient Global Health) and Correlation with the Level of Disease Activity

Syed Faaez Ul Hassan Naqvi, Gul Shehnaz
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Abstract

Rheumatoid arthritis as one of the autoimmune diseases is more prevalent now than ever before. Being more common in women than men, RA has been focused by researchers to invent a therapeutic agent for effective clinical response. Various Diagnostic biomarkers are being used for early diagnosis of RA depending upon their selectivity and specificity. Certain indexes for RA disease activity evaluation are used for assessment of disease on a continuous scale. Disease activity Score combined with laboratory data result and imaging technologies makes the decision of treatment strategies easier than before. Traditionally, TNFi are the most used agents since a decade and first choice of treatment by clinicians, however, combination therapy with DMARD is used in inadequate responders. Despite all the advancements in treatment of RA and proved remission possibility using latest biological agents, studies are needed to ensure quick clinical outcomes and remission probability in larger fraction of people.
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深入了解类风湿关节炎、指标(疾病活动评分28 (DAS28)、ESR、CRP、简化疾病活动指数(SDAI)、临床疾病活动指数(CDAI)、患者整体健康)及其与疾病活动水平的相关性
类风湿关节炎作为一种自身免疫性疾病,其发病率比以往任何时候都高。类风湿性关节炎在女性中比男性更常见,研究人员一直关注于发明一种有效的治疗药物以获得有效的临床反应。根据其选择性和特异性,各种诊断性生物标志物被用于RA的早期诊断。采用RA疾病活动性评价的某些指标对疾病进行连续评价。疾病活动度评分结合实验室数据结果和影像学技术使治疗策略的决策比以前更容易。传统上,TNFi是近十年来使用最多的药物,也是临床医生的首选治疗方法,然而,在反应不足的情况下,使用DMARD联合治疗。尽管在治疗类风湿性关节炎方面取得了进步,并使用最新的生物制剂证明了缓解的可能性,但仍需要进行研究,以确保更大比例人群的快速临床结果和缓解可能性。
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