Anti-tumor necrosis factor-α therapy in undifferentiated spondyloarthritis (USpA)

Hsien Tzung Liao, Chun Hsiung Chen, Wei Sheng Chen, Hui Ting Lee, Chang Youh Tsai, Chung Tei Chou

研究成果: 雜誌貢獻文章同行評審

摘要

Undifferentiated spondyloarthritis (USpA) include incomplete forms or early phases of definite seronegative spondyloarthritis (SpA) and cases of spondyloarthritis that remain undifferentiated. The treatment of SpA is more conditioned by the disease localization. Non-steroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs are the main therapeutic agents for the treatment of peripheral arthritis in USpA. Tumor necrosis factor-α (TNF-α) has been detected in sacroiliac joints of patients with SpA. Anti-TNF-α therapy has been shown efficacious in patients with active ankylosing spondylitis (AS) and psoriatic arthritis. Similar to these SpA subtypes, therapeutic options in USpA are also limited. In those cases in which severe symptoms persist despite these treatments or when there is a severe axial involvement, biologic therapy (such as anti-TNF-α agents) represent an effective choice. In these patients, anti-TNF-α treatment raises the important possibility of blocking a shift from USpA to differentiated forms of spondyloarthritis.

原文英語
頁(從 - 到)174-176
頁數3
期刊Current Rheumatology Reviews
5
發行號3
DOIs
出版狀態已發佈 - 八月 2009

ASJC Scopus subject areas

  • 風濕病

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