如何照顾有患类风湿性关节炎风险的人?

Ségolène Le Ludec , Claire Daïen
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引用次数: 0

摘要

类风湿性关节炎(RA)是一种无法治愈的慢性疾病。对处于危险中的人进行管理,即在疾病开始之前进行管理,可能会预防疾病的发生。类风湿关节炎的临床前阶段现在可以确定,这使得开展预防的临床试验成为可能。在本文中,我们将介绍已经进行和正在进行的每个阶段的治疗试验(皮质类固醇、利妥单抗、阿巴接受、阿托伐他汀、甲氨蝶呤和羟氯喹),然后我们将讨论根据文献提出的非药物措施(维生素D和纠正环境风险因素)。
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Comment prendre en charge les sujets à risque de développer une polyarthrite rhumatoïde ?

Rheumatoid arthritis (RA) is an uncurable chronic disease. Managing people at risk, i.e. before the disease starts, could possibly prevent its occurrence. The pre-clinical stages of RA are now identifiable, and this has allowed the development of clinical trials for prevention. In this article, we will present for each stage the therapeutic trials that have been conducted and are ongoing (corticosteroids, ritxumab, abatacept, atorvastatin, methotrexate and hydroxychloroquine) and then we will discuss the non-pharmacological measures that can be proposed in view of the literature (vitamin D and correction of environmental risk factors).

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