与类风湿性关节炎相关的间歇性肺部疾病的向治疗
Robert Harrington1, Patricia Harkins1, Richard Conway1
1St. James's Hospital, LS9 7TF Dublin, Ireland.
Journal of clinical medicine
|October 28, 2023
概括
风湿性关节炎 (RA) 与间歇性肺病 (ILD) 是严重的. 本综述评估了诸如生物药物和抗纤维素药物等治疗方法,为管理RA-ILD提供了指导.
科学领域:
- 风湿病学和肺病学 风湿病学和肺病学
- 自免疫和炎症性疾病
背景情况:
- 风湿性关节炎 (RA) 是一种慢性自身免疫性疾病.
- 肺部感染,特别是间歇性肺病 (ILD),是RA最常见的关节外表现.
- RA-ILD对患者的发病率和死亡率做出了重大贡献,但基于证据的治疗指南很少.
研究的目的:
- 审查有关管理类风湿性关节炎相关间歇性肺病 (RA-ILD) 的现有证据.
- 评估来自队列研究和患者登记册的现实数据.
- 提出RA-ILD的合理治疗算法.
主要方法:
- 对队列研究的系统审查.
- 从患者登记册中分析现实世界的数据.
- 讨论药理选择,包括葡萄糖皮质类药物,生物药物,小分子药物和抗纤维药物.
主要成果:
- 对RA-ILD的各种治疗方式的疗效和安全性概况的全面评估.
- 对RA-ILD管理的当前有限的临床指导方针的评估.
- 识别知识缺口和需要进一步研究的领域.
结论:
- 有效管理RA-ILD需要仔细考虑治疗选择,平衡疗效和潜在风险.
- 提出了一个结构化治疗算法来指导RA-ILD的临床决策.
- 需要进一步的研究来制定RA-ILD的强有力的基于证据的指导方针.
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