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Corticosteroids as a treatment of rheumatoid arthritis


Authors: K. Trnavský
Authors place of work: Ředitel: MUDr. Zdeněk Hadra ;  Vedoucí lékař: prof. MUDr. K. Trnavský, DrSc. ;  Institut postgraduálního vzdělávání ve zdravotnictví, Praha ;  Arthrocentrum Praha
Published in the journal: Prakt. Lék. 2009; 89(3): 134-135
Category: Of different specialties

Summary

Corticosteroids have their firm place in the pharmacotherapy of rheumatoid arthritis. They are administered in high doses for suppression of acute exacerbation of the disease. Low-dose (between 5–7.5 mg of prednisone daily) in the combination with disease modifying drugs (like methotrexate, sulfasalazine) is the most widely used form of corticosteroids administration in 30 % of patients. Corticosteroids in low-dose are able to decrease the radiographic progression of joint destruction. Low-dose of corticosteroids are generally well tolerated and no new osteoporotic fractures were found in the treated patients.

Key words:
Rheumatoid arthritis, corticosteroids therapy.


Zdroje

1. Bošmanský, K., Trnavský,K. Retrospektívny pohlad na použiti medikamentóznej liečby v skupine 100 chorých na reumatoidnú artritídu. Čas. lék. čes. 121, 1982, s. 95-97.

2. Caplan, L., Wolfe, F., Russell, A.S., Michaud, K. Corticosteroid use in rheumatoid arthritis: prevalence, predictors, correlates and outcomes. J. Rheumatol. 34, 2007, p. 696-706.

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6. Saag, K.G., Koehnke, R.N., Caldwell, J.R. et al. Low-dose long term corticosteroid therapy in rheumatoid arthritis: An analysis of serious adverse events. Amer. J. Med. 1994, 96, p. 115-123.

7. Svensson, B., Boonen, A., Albertson, K. et al. Low-dose prednisolone in addition to the initial disease modifying antirheumatic drug in patients with early active rheumatoid arthritis reduces joint destruction and increases the remission rate: a two-year randomized trial. Arthr. Rheum. 52, 2005, p. 3360-3370.

8. Trnavský, K. Poznámky k použití kortikoidů v terapii revmatoidní artritidy. Rheumatologia 13, 1994, s. 177-180.

9. Wassenberg, S., Rau, R., Steinfeld, P., Zeidler, H. Very low-dose prednisolone in early rheumatoid arthritis retards radiographic progression over two years: a multicentre, double-blind, placebo controlled trial. Arthr. Rheum. 52, 2005, p. 3371-3380.

Štítky
General practitioner for children and adolescents General practitioner for adults
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