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Published on: May 16, 2025
Glucocorticoids and Rheumatoid Arthritis.
Joana Fonseca Ferreira1, Alaa Abdelkhalik Ahmed Mohamed2, Paul Emery3
1Rheumatology Unit, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal.
Glucocorticoids (GCs) are effective and affordable rheumatoid arthritis treatments. Research has clarified their benefits, side effects, and how to minimize harm over 70 years.
Area of Science:
- Rheumatology
- Pharmacology
- Immunology
Background:
- Glucocorticoids (GCs) have been used since 1948 for rheumatoid arthritis.
- GCs are widely used due to efficacy, low cost, and symptom relief.
- Extensive research has elucidated GC mechanisms of action and side effects.
Purpose of the Study:
- To review the clinical applications of GCs in rheumatoid arthritis.
- To summarize the known side effects associated with GC therapy.
- To discuss drug interactions involving GCs.
Main Methods:
- Literature review of clinical studies and pharmacological research.
- Analysis of mechanisms of therapeutic action and adverse effects.
- Examination of strategies to mitigate GC side effects.
Main Results:
- GCs demonstrate significant efficacy in managing rheumatoid arthritis symptoms.
- Understanding of GC mechanisms has grown substantially over seven decades.
- Methods to minimize side effects and manage drug interactions have been developed.
Conclusions:
- Glucocorticoids remain a cornerstone therapy for rheumatoid arthritis.
- Continued research focuses on optimizing GC use and minimizing adverse events.
- This review provides a comprehensive overview for clinicians.
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