关节炎复杂的炎症性肠道疾病 - - 未来是现在
Kaiyang Song1, Jack Satsangi2, Laura C Coates3
1Medical Sciences Division, University of Oxford, Oxford, UK.
The Lancet. Rheumatology
|July 20, 2024
概括
免疫媒介性炎症疾病的进展不均. 虽然对于类风湿性关节炎和克罗恩病有进展,但导致炎症性肠病 (IBD) 复杂的脊椎关节病患者缺乏特定的治疗方法和诊断工具.
科学领域:
- 风湿病学和胃肠道学
- 免疫学 免疫学 免疫学
- 炎症性疾病 炎症性疾病
背景情况:
- 在控制免疫媒介炎症疾病方面取得了重大进展.
- 治疗发展包括对类风湿性关节炎,牛皮性关节炎和克罗恩病的策略.
- 然而,在管理复杂性炎症性肠病 (IBD) 的脊髓关节病的进展是有限的.
研究的目的:
- 为了突出IBD相关的脊髓关节病的未满足需求.
- 倡导针对这一特定患者群体的专用方法.
- 与其他炎症关节病相比,强调IBD相关的脊髓关节病的独特性质.
主要方法:
- 对IBD相关的脊髓关节病的当前临床实践和文献的审查.
- 与其他炎症性关节病,如牛皮关节炎的管理策略进行比较.
- 对缺乏疾病特异性工具和治疗方法的分析.
主要成果:
- 与IBD相关的脊髓关节炎的病理生理学尚不清楚.
- 没有公认的查工具,诊断标准或许可的治疗方法.
- 目前的护理依赖于从脊椎关节炎和IBD中推断出的指导方针.
结论:
- 与IBD相关的脊髓关节炎越来越多地被认为是一种具有独特表型的独特实体.
- 需要专门的研究,诊断标准和治疗策略.
- 与牛皮性关节炎相似的平行方法,对于IBD相关的脊髓关节炎是有必要的.
相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
210
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
210
Inflammatory Bowel Disease IV: Pharmacological Management
124
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
124
Inflammatory Bowel Disease V: Surgical Management
139
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
139
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
127
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
127
Chronic Bowel Disorders: Introduction
438
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
438
Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160


