Management of refractory rheumatoid arthritis

被引:0
作者
van de Putte, LBA [1 ]
Kroot, EJA [1 ]
van Riel, PLCM [1 ]
机构
[1] Univ Nijmegen Hosp, Dept Rheumatol, NL-6500 HB Nijmegen, Netherlands
关键词
rheumatoid arthritis; treatment; refractory; DMARDs; corticosteroids; tumour necrosis factor alpha; methotrexate;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Based on the results of a MEDLINE search (1992-1997), the term 'refractory rheumatoid arthritis' (refractory RA) is ill-defined, in terms of both patient characterization and description of previous treatments. Current strategies of management of refractory RA include increasing disease-modifying anti-rheumatic drug dosage above standard dosage regimens, using combination therapy, and adding or increasing the dosage of corticosteroids. Options for further strategies include target-oriented biological agents (e.g. anti-tumour necrosis factor), gene therapy, stem-cell treatment and oral tolerance induction.
引用
收藏
页码:32 / 34
页数:3
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