Efficacy and safety of oral low-dose glucocorticoids in patients with estrogen-dependent primary osteoarthritis

被引:6
作者
Canas, Carlos A. [1 ]
Osorio, Carlos J. [2 ]
Coronel, Nicolas [3 ]
Cepeda, Magda C. [4 ]
Izquierdo, Jorge H. [1 ]
Bonilla-Abadia, Fabio [1 ]
机构
[1] ICESI Univ, Fdn Valle del Lili, Rheumatol Unit, Cali, Colombia
[2] ICESI Univ, Fdn Valle del Lili, Dept Internal Med, Cali, Colombia
[3] CES Univ, Fdn Valle del Lili, Dept Internal Med, Cali, Colombia
[4] Fdn Valle del Lili, Inst Invest Clin, Cali, Colombia
关键词
Primary osteoarthritis; Glucocorticoids; Steroids; Menopause; CLASSIFICATION; CRITERIA; EXPRESSION; CELLS;
D O I
10.1007/s00296-012-2603-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Estrogen-dependent osteoarthritis (EDPOA) is a disease of perimenopausal-age women. Their manifestations are polyarticular pain with common co-morbidities (carpal tunnel syndrome, insomnia, fatigue, depression, and fibromyalgia). Based on dual role of glucocorticoids, its trophic action on the chondrocyte and its anti-inflammatory effect, we conducted a prospective interventional cohort study where we evaluate the efficacy and safety of oral low-dose GC in one hundred women with EDPOA. The pain intensity, number of tender joints as well as impact in co-morbidities were analyzed. We conclude that the use of low-dose GC in patients with EDPOA can be an effective and a safe therapeutic option.
引用
收藏
页码:733 / 735
页数:3
相关论文
共 16 条
[1]   THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS OF THE HAND [J].
ALTMAN, R ;
ALARCON, G ;
APPELROUTH, D ;
BLOCH, D ;
BORENSTEIN, D ;
BRANDT, K ;
BROWN, C ;
COOKE, TD ;
DANIEL, W ;
GRAY, R ;
GREENWALD, R ;
HOCHBERG, M ;
HOWELL, D ;
IKE, R ;
KAPILA, P ;
KAPLAN, D ;
KOOPMAN, W ;
LONGLEY, S ;
MCSHANE, DJ ;
MEDSGER, T ;
MICHEL, B ;
MURPHY, W ;
OSIAL, T ;
RAMSEYGOLDMAN, R ;
ROTHSCHILD, B ;
STARK, K ;
WOLFE, F .
ARTHRITIS AND RHEUMATISM, 1990, 33 (11) :1601-1610
[2]   DEVELOPMENT OF CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS - CLASSIFICATION OF OSTEOARTHRITIS OF THE KNEE [J].
ALTMAN, R ;
ASCH, E ;
BLOCH, D ;
BOLE, G ;
BORENSTEIN, D ;
BRANDT, K ;
CHRISTY, W ;
COOKE, TD ;
GREENWALD, R ;
HOCHBERG, M ;
HOWELL, D ;
KAPLAN, D ;
KOOPMAN, W ;
LONGLEY, S ;
MANKIN, H ;
MCSHANE, DJ ;
MEDSGER, T ;
MEENAN, R ;
MIKKELSEN, W ;
MOSKOWITZ, R ;
MURPHY, W ;
ROTHSCHILD, B ;
SEGAL, M ;
SOKOLOFF, L ;
WOLFE, F .
ARTHRITIS AND RHEUMATISM, 1986, 29 (08) :1039-1049
[3]   Osteoarthritis: an update with relevance for clinical practice [J].
Bijlsma, Johannes W. J. ;
Berenbaum, Francis ;
Lafeber, Foris P. J. G. .
LANCET, 2011, 377 (9783) :2115-2126
[4]   Etiopathogenesis of osteoarthritis [J].
Brandt, Kenneth D. ;
Dieppe, Paul ;
Radin, Eric L. .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 2008, 34 (03) :531-+
[5]   Cross Talk between Glucocorticoid and Estrogen Receptors Occurs at a Subset of Proinflammatory Genes [J].
Cvoro, Aleksandra ;
Yuan, Chaoshen ;
Paruthiyil, Sreenivasan ;
Miller, Oliver H. ;
Yamamoto, Keith R. ;
Leitman, Dale C. .
JOURNAL OF IMMUNOLOGY, 2011, 186 (07) :4354-4360
[6]   Glucocorticoids promote chondrogenic differentiation of adult human mesenchymal stem cells by enhancing expression of cartilage extracellular matrix genes [J].
Derfoul, Assia ;
Perkins, Geraldine L. ;
Hall, David J. ;
Tuan, Rocky S. .
STEM CELLS, 2006, 24 (06) :1487-1495
[7]  
Elders MJ, 2000, J RHEUMATOL, V27, P6
[8]  
Gore Mugdha, 2011, J Med Econ, V14, P497, DOI 10.3111/13696998.2011.594347
[9]   Primary Osteoarthritis No Longer Primary: Three Subsets with Distinct Etiological, Clinical, and Therapeutic Characteristics [J].
Herrero-Beaumont, Gabriel ;
Roman-Blas, Jorge A. ;
Castaneda, Santos ;
Jimenez, Sergio A. .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2009, 39 (02) :71-80
[10]   Effects of short-term glucocorticoid treatment on changes in cartilage matrix degradation and chondrocyte gene expression induced by mechanical injury and inflammatory cytokines [J].
Lu, Yihong C. S. ;
Evans, Christopher H. ;
Grodzinsky, Alan J. .
ARTHRITIS RESEARCH & THERAPY, 2011, 13 (05)