Developments in glucocorticoid therapy

被引:28
作者
Bijlsma, JWJ
Saag, KG
Buttgereit, F
da Silva, JAP
机构
[1] Univ Utrecht, Med Ctr, Dept Rheumatol & Clin Immunol, NL-3508 GA Utrecht, Netherlands
[2] Univ Alabama Birmingham, Div Clin Immunol & Rheumatol, Ctr Educ & Res Therapeut Musculoskeletal Disorder, Birmingham, AL 35294 USA
[3] Humbold Hosp, Charite, Dept Rheumatol & Clin Immunol, D-10098 Berlin, Germany
[4] Hosp Univ Coimbra, P-3000075 Coimbra, Portugal
关键词
D O I
10.1016/j.rdc.2004.10.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recent evidence for a disease-modifying potential of low-dose glucocorticoids (GCs) in the treatment of rheumatoid arthritis has renewed the debate on the risk benefit ratio with this therapy. Two recent developments are described that might have a positive influence on these risk benefit ratios. One is the improvement in new GC compounds-designer GCs, alterations in bioactivity, and alterations in formulations. The other is a better understanding and management of the toxicity of GCs.
引用
收藏
页码:1 / +
页数:18
相关论文
共 124 条
[1]  
AFIFI AK, 1968, JOHNS HOPKINS MED J, V123, P158
[2]   STEROID-INDUCED DIABETIC KETOACIDOSIS [J].
ALAVI, IA ;
SHARMA, BK ;
PILLAY, VKG .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1971, 262 (01) :15-+
[3]   Rheumatoid arthritis and macrovascular disease [J].
Alkaabi, JK ;
Ho, M ;
Levison, R ;
Pullar, T ;
Belch, JJF .
RHEUMATOLOGY, 2003, 42 (02) :292-297
[4]   Hip fractures attributable to corticosteroid use [J].
Baltzan, MA ;
Suissa, S ;
Bauer, DC ;
Cummings, SR .
LANCET, 1999, 353 (9161) :1327-1327
[5]  
BECKER DM, 1988, AM J MED, V85, P632
[6]   OCULAR COMPLICATIONS IN RENAL-TRANSPLANT RECIPIENTS [J].
BERKOWITZ, JS ;
DAVID, DS ;
SAKAI, S ;
SHOJI, H ;
CHEIGH, JS ;
RIGGIO, RR ;
STENZEL, KH ;
RUBIN, AL .
AMERICAN JOURNAL OF MEDICINE, 1973, 55 (04) :492-495
[7]   Influence of glucocorticoids and disease activity on total and high density lipoprotein cholesterol in patients with rheumatoid arthritis [J].
Boers, M ;
Nurmohamed, MT ;
Doelman, CJA ;
Lard, LR ;
Verhoeven, AC ;
Voskuyl, AE ;
Huizinga, TWJ ;
van de Stadt, RJ ;
Dijkmans, BAC ;
van der Linden, S .
ANNALS OF THE RHEUMATIC DISEASES, 2003, 62 (09) :842-845
[8]  
Buckley L, 2001, ARTHRITIS RHEUM, V44, P1496
[9]  
Buckley LM, 2000, CLIN EXP RHEUMATOL, V18, pS41
[10]   Differentiation of adipose stromal cells:: The roles of glucocorticoids and 11β-hydroxysteroid dehydrogenase [J].
Bujalska, IJ ;
Kumar, S ;
Hewison, M ;
Stewart, PM .
ENDOCRINOLOGY, 1999, 140 (07) :3188-3196