Рекомендации EULAR по диагностике и лечению раннего артрита: 2016
Автор: Насонов Е.Л.
Журнал: Научно-практическая ревматология @journal-rsp
Рубрика: Международные и российские рекомендации по лечению ревматических заболеваний
Статья в выпуске: 2 т.55, 2017 года.
Бесплатный доступ
Ранний артрит, который часто определяют как недифференцированный артрит (НДА), может быть ранней стадией ревматоидного артрита (РА), первым проявлением широкого спектра ревматических заболеваний и в течение длительного времени оставаться недифференцированным или завершаться спонтанно. В статье обсуждаются новые рекомендации Европейской антиревматической лиги (EULAR) по ведению пациентов с ранним артритом, в которых отражены достижения за последние 10 лет, связанные с новыми методами диагностики и лечения раннего артрита, в первую очередь - как кардинального симптомокомплекса РА. Рекомендации включают три общих принципа и 12 рекомендаций, касающихся диагностики и лечения раннего артрита. Особое внимание уделяется необходимости раннего назначения метотрексата, монотерапия которым является «золотым стандартом» в фармакотерапии РА. В заключение обсуждаются новые данные, касающиеся возможности профилактики РА в группе пациентов с АЦЦП-позитивными артралгиями.
Ранний артрит, ревматоидный артрит, метотрексат, антитела к циклическому цитруллинированному пептиду
Короткий адрес: https://sciup.org/14945802
IDR: 14945802 | DOI: 10.14412/1995-4484-2017-138-150
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