Atualização em reumatologia: artrite reumatóide inicial

Abstract

atualização em reumatologia uPDate iN rheumatology resPoNsáVel: boris afoNso cruz

Diagnóstico por imagem da artrite reumatoide inicial

“…2 In the past years, the generalization of the concept of "initial" or "early" RA and the existence of a window of therapeutic opportunity -time during which the institution of adequate therapy for the disease would result in marked clinical improvement -have strengthened the notion that early diagnosis and treatment can modify the course of disease. 3 Concomitantly, laboratory and imaging tests have been developed or refi ned, contributing to the earlier diagnosis and prognostication of initial RA; in addition, changes in the therapeutic approach of RA have been instituted, with the use of new classes of drugs. 4 The diagnosis of RA is established considering the association of clinical fi ndings, and neither a laboratory test, nor a histological fi nding, nor an imaging test alone can confi rm it.…”

Princípios gerais do tratamento da artrite reumatoide inicial

“…2 In the last years, the therapeutic concept of early RA (first 12 months of the symptoms) has undergone great changes. 3 Three aspects in particular came to be the basis of the new paradigm for treatment: early diagnosis, immediate onset of Disease Modifying Antirheumatic Drugs therapy (DMARD) and strict control of the inflammatory activity. 4 …”

“…general prIncIples for the treatment of early rheumatoId arthrItIs lIcIa marIa henrIque da mota 1* , Ieda marIa magalhães laurIndo 2 , leopoldo luIz dos santos neto 3 Research conducted at the Universitário de Brasília (HUB) -Universidade de Brasília (UnB), Brasília, DF, Brazil…”