Evidence-based management of rapidly progressing systemic sclerosis.

Evidence-based management of rapidly progressing systemic sclerosis.
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DOI:
10.1016/j.berh.2009.12.002
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发表时间:
2010-06
影响因子:
5.2
通讯作者:
Denton, Christopher P.
Denton, Christopher P.
中科院分区:
医学2区
文献类型:
--
作者:
Khanna, Dinesh;Denton, Christopher P.

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在所有自身免疫性风湿性疾病中,系统性硬化症的病例特异性死亡率最高,并且发病率较高。这是一项重大的临床挑战,并且由于可用的治疗选择有限,并且目前使用的治疗方法缺乏临床有效性的证据,因此之前曾引发严重的虚无主义。然而,这种情况正在发生变化,有新的数据支持某些治疗方法对该患者群体的疗效,以及越来越多令人兴奋的潜在新治疗方法正在进入临床领域。详细回顾和讨论了最近的一些临床试验。
Systemic sclerosis has the highest case-specific mortality of any of the autoimmune rheumatic diseases as well as causing major morbidity. It is a major clinical challenge and one that has previously provoked substantial nihilism due to the limited therapeutic options available and perceived lack of evidence for clinical effectiveness of those treatments that are currently in use. However this situation is changing and there are emerging data supporting efficacy for some treatment approaches for this patient group together with a growing number of exciting potential novel approaches to treatment that are moving into the clinical arena. Some of the recent clinical trials are reviewed and discussed in detail.
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