Low-dose glucocorticoid therapy in rheumatoid arthritis: an obligatory therapy

被引:24
作者
Bijlsma, Johannes W. J. [1 ]
van der Goes, Marlies C. [1 ]
Hoes, Jos N. [1 ]
Jacobs, Johannes W. G. [1 ]
Buttgereit, Frank [1 ]
Kirwan, John [1 ]
机构
[1] Univ Med Ctr Utrecht, Dept Rheumatol & Clin Immunol, NL-3508 GA Utrecht, Netherlands
来源
NEUROENDOCRINE IMMUNOLOGY IN RHEUMATIC DISEASES: TRANSLATION FROM BASICS TO CLINICS | 2010年 / 1193卷
关键词
glucocorticoids; DMARDs; rheumatoid arthritis; EULAR guidelines; JOINT DESTRUCTION; PREDNISOLONE; TRIAL; BENEFITS;
D O I
10.1111/j.1749-6632.2009.05342.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Glucocorticoids (GCs) are used extensively in patients with rheumatoid arthritis (RA). Recent data on the efficacy of these drugs in alleviating symptoms of inflammation, but also in retarding erosive damage, are presented. In addition, a critical review of the rather limited literature on adverse effects of chronic use of low dose GCs is given. It becomes clear that the net effect of low-dose GCs in the treatment of rheumatoid arthritis favors the beneficial aspects of these drugs above the negative aspects. Prudent use of GCs can be recommended.
引用
收藏
页码:123 / 126
页数:4
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