Is it possible to offer evidence-based treatment for systemic vasculitis?

Abstract:

:The evidence base for treatment of systemic vasculitis is reviewed in this article. Accurate diagnosis and evaluation of disease status is crucial to the appropriate management of these cases and disease status should be employed as a means of staging so that appropriate therapy can be offered tailored to the individual requirements of each case. Large vessel vasculitides are almost exclusively managed with corticosteroids. Small vessel vasculitis with internal organ involvement usually requires more aggressive immuno-suppression; by contrast, small vessel vasculitis without internal organ involvement rarely requires intervention. Despite our current efforts, the long-term morbidity of patients with systemic vasculitis remains high. We need better therapeutic strategies in order to limit or control disease rapidly and thereby prevent the accumulation of subsequent damage. Large-scale randomised trials comparing different therapeutic strategies offer the only hope of establishing a firmer evidence base for the optimal management of these diseases.

journal_name

Scand J Rheumatol

authors

Luqmani RA

doi

10.1080/030097400750041334

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

211-5

issue

4

eissn

0300-9742

issn

1502-7732

journal_volume

29

pub_type

社论,评审
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    doi:10.3109/03009749209095084

    authors: Halma C,Daha MR,Evers-Schouten JH,Pauwels EK,van Es LA

    更新日期:1992-01-01 00:00:00

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    abstract::No difference in the number of serious adverse events was reported in previous clinical trials in rheumatoid arthritis (RA) and inflammatory bowel disease (IBD) patients treated with TNF-alpha blockade, but a patient died because of disseminated tuberculosis. A tuberculosis reactivation in a patient with IBD and anti-...

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    doi:10.1080/030097402317255372

    authors: Mayordomo L,Marenco JL,Gomez-Mateos J,Rejon E

    更新日期:2002-01-01 00:00:00

  • Churg-Strauss syndrome presenting with pulmonary capillaritis and diffuse alveolar hemorrhage.

    abstract::Churg-Strauss syndrome (CSS) is a rare disorder characterized by the histopathological triad of systemic necrotizing vasculitis, extravascular granuloma, and eosinophilic infiltrate, occurring in individuals with asthma or a history of allergy. We report a case of CSS with rare presentation of diffuse pulmonary hemorr...

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    doi:10.1080/030097498440877

    authors: Lai RS,Lin SL,Lai NS,Lee PC

    更新日期:1998-01-01 00:00:00

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    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2015.1010103

    authors: Egloff N,von Känel R,Müller V,Egle UT,Kokinogenis G,Lederbogen S,Durrer B,Stauber S

    更新日期:2015-01-01 00:00:00

  • Rheumatic manifestations of Campylobacter jejuni and C. fetus infections in adults.

    abstract::Reports of the rheumatic manifestations of Campylobacter jejuni and C. fetus infections in adults are reviewed in order to determine the most common presentations and which individuals are at risk for rheumatic disease. Relevant English-language articles were identified through a Medline search and from bibliographies...

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    pub_type: 杂志文章,评审

    doi:10.3109/03009749409103055

    authors: Peterson MC

    更新日期:1994-01-01 00:00:00

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    abstract:OBJECTIVE:The present randomized controlled trial compared arthrocentesis of the effusive knee followed by corticosteroid injection performed by the conventional anatomic landmark palpation-guided technique to the same procedure performed with ultrasound (US) needle guidance. METHODS:Sixty-four palpably effusive knees...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/03009742.2011.599071

    authors: Sibbitt WL Jr,Kettwich LG,Band PA,Chavez-Chiang NR,DeLea SL,Haseler LJ,Bankhurst AD

    更新日期:2012-02-01 00:00:00

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    abstract::The aim of the present study was to relate postural control, as measured on a quantitative test battery as standing balance on an AMTI force platform, to results of muscle function of the lower extremities, aerobic capacity, disease characteristics, attitudes revealing anxiety, and demographic variables in patients wi...

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    pub_type: 杂志文章

    doi:10.3109/03009749209099245

    authors: Ekdahl C

    更新日期:1992-01-01 00:00:00

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    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009749950154257

    authors: Volck B,Ostergaard K,Johansen JS,Garbarsch C,Price PA

    更新日期:1999-01-01 00:00:00

  • The effect of ibuprofen on the thickening, stiffening and development of degenerative changes in the rabbit knee following immobilization.

    abstract::The right knee of adult rabbits was immobilized in extension for 5 weeks. The rabbits were then allowed to move freely for 8 weeks. Some rabbits were given 100 mg of ibuprofen (Brufen) daily per os during the immobilization and remobilization periods. The controls were not given any drug. The development of the thickn...

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    pub_type: 杂志文章

    doi:10.3109/03009748009098145

    authors: Michelsson JE

    更新日期:1980-01-01 00:00:00

  • Leukocyte protein calprotectin and outcome in rheumatoid arthritis. A longitudinal study.

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    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/030097402320817077

    authors: Madland TM,Hordvik M,Haga HJ,Jonsson R,Brun JG

    更新日期:2002-01-01 00:00:00

  • Measuring health in rheumatic disorders by means of a Swedish version of the sickness impact profile. Results from a population study.

    abstract::A technique for assessing the overall consequences of disease is introduced, comprising a Swedish version of a behaviour-based measure, the Sickness Impact Profile (SIP). Measurement characteristics of the profile are defined in an epidemiological study of 147 women with rheumatic disorders. The drop-out rate was 7.5%...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748609102088

    authors: Sullivan M,Ahlmén M,Archenholtz B,Svensson G

    更新日期:1986-01-01 00:00:00

  • Intestinal permeability to different-sized polyethyleneglycols in patients with rheumatoid arthritis.

    abstract::The intestinal permeability to polyethyleneglycols (PEGs) of varying size in patients with rheumatoid arthritis has been investigated. Permeability was determined by measuring the 6-hour urinary recovery of different-sized PEGs after oral intake of PEG 400, PEG 1000, or PEG 3000. Patients with rheumatoid arthritis exc...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748309102897

    authors: Tagesson C,Bengtsson A

    更新日期:1983-01-01 00:00:00

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    abstract::Immobilization of a rabbit leg in extension results in the early development of an aseptic inflammation, synovial effusion and stiffening, and subsequent osteoarthritis of the knee. To study the pathogenesis of this experimental osteoarthritis, the hydrostatic pressures were measured in the knee, and distal metaphysis...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748809098756

    authors: Kallio PE,Michelsson JE,Björkenheim JM

    更新日期:1988-01-01 00:00:00

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    abstract::The associations between the lumbar and femoral bone mineral and several body constitutional, lifestyle, and disease related variables were studied in 111 children with juvenile chronic arthritis (JCA) by factor and multiple linear regression analyses. In addition to the measurement of bone mineral density (BMD), bone...

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    pub_type: 杂志文章

    doi:10.1080/03009749950155733

    authors: Kotaniemi A,Savolainen A,Kröger H,Kautiainen H,Isomäki H

    更新日期:1999-01-01 00:00:00

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

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    更新日期:1990-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2008-07-01 00:00:00

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    pub_type: 杂志文章

    doi:10.3109/03009742.2010.517547

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    更新日期:2011-05-01 00:00:00

  • Intra-articular glucocorticoid treatment of the rheumatoid wrist. An ultrasonographic study.

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    pub_type: 临床试验,杂志文章

    doi:10.1080/030097401753180336

    authors: Koski JM,Hermunen H

    更新日期:2001-01-01 00:00:00

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    pub_type: 杂志文章

    doi:10.3109/03009741003604534

    authors: Tamai M,Kawakami A,Iwamoto N,Arima K,Aoyagi K,Eguchi K

    更新日期:2010-08-01 00:00:00

  • Major salivary gland sonography in Sjögren's syndrome: diagnostic value of a novel ultrasonography score (0-12) for parenchymal inhomogeneity.

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    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009740903270623

    authors: Milic VD,Petrovic RR,Boricic IV,Radunovic GL,Pejnovic NN,Soldatovic I,Damjanov NS

    更新日期:2010-03-01 00:00:00

  • Osmium deposits detected by x-ray after synoviorthesis of the knee.

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    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:

    authors: Boussina I,Lagier R,Ott H,Fallet GH

    更新日期:1976-01-01 00:00:00

  • Cyclic nucleotides and catecholamines in rheumatoid arthritis.

    abstract::A controlled cross over study on the effect of fasting on cyclic nucleotide and catecholamine excretion was carried out in 12 female RA patients. They were hospitalized during a control and fasting period. The fasting period started with 3 days of habituation to hospital conditions, followed by 7 days of total fasting...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/03009748309102906

    authors: Trang LE,Lövgren O,Norlund AE,Horn R,Walaas O

    更新日期:1983-01-01 00:00:00

  • Increased carotid intima thickness and decreased media thickness in premenopausal women with systemic lupus erythematosus: an investigation by non-invasive high-frequency ultrasound.

    abstract:OBJECTIVE:To determine whether high-frequency ultrasound (US) yielding separate assessments of intima and media thickness gives additional information about the vascular morphology compared with the total common carotid artery intima-media thickness (CCA-IMT). METHODS:Using a 22 MHz US instrument, we determined the ne...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2011.556146

    authors: Leonard D,Akhter T,Nordmark G,Rönnblom L,Naessen T

    更新日期:2011-01-01 00:00:00

  • Severe and prolonged febrile myalgia in familial Mediterranean fever.

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    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/030097400447615

    authors: Odabas AR,Cetinkaya R,Selcuk Y,Kaya H

    更新日期:2000-01-01 00:00:00

  • The effect of multimeric adiponectin isoforms and leptin on the function of rheumatoid fibroblast-like synoviocytes.

    abstract:OBJECTIVES:To evaluate the effects of physiologically relevant concentrations of multimeric adiponectin isoforms and leptin on the function of fibroblast-like synoviocytes (FLS) from patients with rheumatoid arthritis (RA). METHOD:FLS, isolated from the synovial tissue of 21 RA patients, were stimulated for 24 h with ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2015.1025833

    authors: Kontny E,Janicka I,Skalska U,Maśliński W

    更新日期:2015-01-01 00:00:00

  • Emotional status in systemic lupus erythematosus.

    abstract::Psychological and emotional status was assessed in 36 patients with systemic lupus erythematosus (SLE) with the General Health Questionnaire-30 (GHQ-30) and Minnesota Multiphasic Personality Inventory (MMPI) questionnaires. The two tests were found to measure different aspects of psychological functioning. More than 5...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/030097498442226

    authors: Waterloo K,Omdal R,Husby G,Mellgren SI

    更新日期:1998-01-01 00:00:00