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Current Treatment Options in Rheumatology最新文献

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Vascular Interventions in Takayasu Arteritis 高安动脉炎的血管介入治疗
Pub Date : 2024-07-23 DOI: 10.1007/s40674-024-00216-4
M. D. de Aguiar, Andressa Miozzo Soares, Alexandre Wagner Silva de Souza
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引用次数: 0
(Levamisole Adulterated) Cocaine-Induced Vasculitis: What Is Known/Current Evidence (左旋咪唑掺假)可卡因诱发的血管炎:已知信息/现有证据
Pub Date : 2024-07-23 DOI: 10.1007/s40674-024-00215-5
Johan W. J. Donkers, Robert A. Feijen, Abraham Rutgers
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引用次数: 0
Intravenous Immunoglobulins in Idiopathic Inflammatory Myopathies: Where Are We? 特发性炎症性肌病中的静脉注射免疫球蛋白:我们在哪里?
Pub Date : 2024-01-10 DOI: 10.1007/s40674-023-00214-y
Kevin Gourbeyre-Masson, O. Landon-Cardinal, Olivier Benveniste, Yves Allenbach
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引用次数: 0
Treatment of Immune-Mediated Necrotizing Myopathy. 免疫介导的坏死性肌病的治疗。
Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI: 10.1007/s40674-023-00210-2
Sandra Amara Ogbonnaya-Whittlesey, Dale Kobrin, Maria Casal-Dominguez, Andrew L Mammen, Iago Pinal-Fernandez

Purpose of review: Immune-mediated necrotizing myositis (IMNM) is a rare autoimmune disorder characterized by proximal muscle weakness, elevated creatine kinase levels, and necrosis of muscle fibers. While the exact pathogenesis of IMNM remains unknown, anti-HMGCR and anti-SRP autoantibodies are associated with different predisposing factors, clinical manifestations, and severity of the disease and are believed to correspond to two pathogenically distinct entities. The cornerstone treatment for IMNM is a combination of glucocorticoids and steroid-sparing agents. Therapeutic strategies aimed at decreasing the half-life of endogenous autoantibodies, such as intravenous immunoglobulin (IVIG), or reducing their production, such as rituximab, have shown promise as powerful treatments. In severe cases, combining IVIG and rituximab can have synergistic effects.

Recent findings: Previous studies suggested that complement dysregulation may be involved in the pathogenesis of IMNM. However, a recent phase 2 clinical trial evaluating the effectiveness of zilucoplan, a C5 inhibitor, failed to show efficacy in IMNM.

Summary: In this review, we aim to provide a comprehensive review of IMNM focusing on the current evidence regarding treatment options for this condition. Our goal is to present an up-to-date overview of the current state of therapeutics on IMNM and highlight potential areas for future investigation.

综述目的:免疫介导的坏死性肌炎(IMNM)是一种罕见的自身免疫性疾病,其特征是近端肌肉无力、肌酸激酶水平升高和肌纤维坏死。虽然IMNM的确切发病机制尚不清楚,但抗hmgcr和抗srp自身抗体与不同的易感因素、临床表现和疾病的严重程度有关,并且被认为对应于两种不同的病理实体。IMNM的基础治疗是糖皮质激素和保留类固醇药物的联合治疗。旨在减少内源性自身抗体半衰期的治疗策略,如静脉注射免疫球蛋白(IVIG),或减少其产生的治疗策略,如利妥昔单抗,已显示出作为有效治疗的希望。在严重的情况下,IVIG和利妥昔单抗联合使用可产生协同效应。最新发现:既往研究提示补体失调可能参与了IMNM的发病机制。然而,最近一项评估zilucoplan(一种C5抑制剂)有效性的2期临床试验未能显示对IMNM的有效性。摘要:在这篇综述中,我们的目的是提供一个全面的综述,重点是关于这种疾病的治疗选择的现有证据。我们的目标是对IMNM的治疗现状进行最新的概述,并强调未来研究的潜在领域。
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引用次数: 0
Treatment of Myositis Associated With Immune Checkpoint Inhibitors 免疫检查点抑制剂治疗肌炎
Pub Date : 2023-11-02 DOI: 10.1007/s40674-023-00212-0
Ana Matas-García, Eugenia Martinez-Hernandez, José César Milisenda
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引用次数: 0
Molecular Mechanisms Underlying Systemic Sclerosis–Associated Interstitial Lung Disease and Idiopathic Pulmonary Fibrosis: an Update 系统性硬化症相关间质性肺疾病和特发性肺纤维化的分子机制研究进展
Pub Date : 2023-10-18 DOI: 10.1007/s40674-023-00213-z
Priyanka Verma, Swarna Bale, John Varga, Swati Bhattacharyya
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引用次数: 0
The Greater Trochanteric Pain Syndrome: Clinical Presentation, Diagnosis, and Management 大转子疼痛综合征:临床表现、诊断和治疗
Pub Date : 2023-08-08 DOI: 10.1007/s40674-023-00209-9
Romain Guemara, M. Nissen
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引用次数: 0
Intra-articular Therapies for Knee Osteoarthritis: Current Update 膝关节骨关节炎的关节内治疗:最新进展
Pub Date : 2023-07-01 DOI: 10.1007/s40674-023-00207-x
Win Min Oo, J. Hunter
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引用次数: 2
Patient Preferences and Osteoarthritis Care: What Do We Know About What Patients Want from Osteoarthritis Treatment? 患者偏好和骨关节炎护理:我们知道患者想从骨关节炎治疗中得到什么?
Pub Date : 2023-06-19 DOI: 10.1007/s40674-023-00208-w
P. Nicolson, M. Holden
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引用次数: 1
Exercise Therapy for Knee and Hip Osteoarthritis: Is There An Ideal Prescription? 膝关节和髋关节骨性关节炎的运动疗法:有理想的处方吗?
Pub Date : 2023-05-20 DOI: 10.1007/s40674-023-00205-z
James J Young, Julie Rønne Pedersen, Alessio Bricca

Purpose of review: Exercise therapy is the first line treatment for patients with knee and hip osteoarthritis (OA) but is consistently underutilized. In this review, we aim to provide health care professionals with an overview of the latest evidence in the areas of exercise therapy for OA, which can serve as a guide for incorporating the ideal exercise therapy prescription in the overall management plan for their patients with OA.

Recent findings: Evidence continues to be produced supporting the use of exercise therapy for all patients with knee or hip OA. Ample evidence exists suggesting exercise therapy is a safe form of treatment, for both joint structures and the patient overall. Several systematic reviews show that exercise therapy is likely to improve patient outcomes, regardless of disease severity or comorbidities. However, no single type of exercise therapy is superior to others.

Summary: Health care practitioners and patients should be encouraged to incorporate exercise therapy into treatment plans and can be assured of the safety profile and likelihood of improvement in important patient outcomes. Since no single exercise therapy program shows vastly superior benefit, patient preference and contextual factors should be central to the shared decision-making process when selecting and individualising appropriate exercise therapy prescriptions.

综述目的:运动疗法是膝关节和髋关节骨关节炎(OA)患者的一线治疗方法,但一直未得到充分利用。在这篇综述中,我们旨在为卫生保健专业人员提供OA运动治疗领域的最新证据概述,这可以作为将理想的运动治疗处方纳入OA患者整体管理计划的指南。最近的研究结果:仍有证据支持对所有膝关节或髋关节OA患者使用运动治疗。有充分的证据表明,运动疗法对关节结构和患者整体来说都是一种安全的治疗方式。几项系统综述表明,无论疾病严重程度或合并症如何,运动治疗都可能改善患者的预后。然而,没有一种单一类型的运动疗法优于其他疗法。总结:应鼓励医护人员和患者将运动疗法纳入治疗计划,并确保重要患者结果的安全性和改善的可能性。由于没有一个单一的运动治疗方案显示出显著的优势,因此在选择和个性化适当的运动治疗处方时,患者的偏好和背景因素应成为共享决策过程的核心。
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引用次数: 2
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