Clinical manifestations of disease activity, its measurement, and associated morbidity in systemic lupus erythematosus.

Abstract:

:Although nephritis remains a very important clinical disease manifestation of systemic lupus erythematosus (SLE), the focus has shifted from issues of mortality to morbidity. An improved method for measuring renal function is presented, and the value of renal biopsy, specifically the chronicity index, is confirmed as a predictor of end-stage renal disease. Several studies detailing the generally favorable course in SLE patients with renal failure who have eventually required chronic dialysis or renal transplantation are discussed. A high frequency of cardiovascular manifestations, often subclinical, is documented, including abnormalities of ventricular and valvular function. The clinical course and response to treatment of SLE patients with diffuse interstitial lung disease and pulmonary hypertension are outlined. Cases of the unusual gastrointestinal presentation of protein-losing enteropathy in SLE have been described by several authors. The clinical correlates and significance of persistent rheumatoid-like arthritis and radiologic erosive and cystic bony lesions in SLE are discussed. Serologic markers of specific SLE disease manifestations and general predictors of disease activity are evaluated. Complications related to infection, malignancy, and pregnancy are described.

journal_name

Curr Opin Rheumatol

authors

Ginzler EM

doi

10.1097/00002281-199110000-00006

subject

Has Abstract

pub_date

1991-10-01 00:00:00

pages

780-8

issue

5

eissn

1040-8711

issn

1531-6963

journal_volume

3

pub_type

杂志文章,评审
  • Interstitial lung disease: is interstitial lung disease the same as scleroderma lung disease?

    abstract:PURPOSE OF REVIEW:Pulmonary fibrosis is a devastating disease that affects millions of people worldwide. Among the most common forms of lung fibrosis are idiopathic pulmonary fibrosis (IPF) and scleroderma-related interstitial lung disease (SSc-ILD). Despite a wealth of literature regarding each of these diseases, stud...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3283588de4

    authors: Murray LA,Rubinowitz A,Herzog EL

    更新日期:2012-11-01 00:00:00

  • Recognizing and managing comorbidities in psoriatic arthritis.

    abstract:PURPOSE OF REVIEW:Many patients with psoriatic arthritis (PsA) have additional medical problems that can have an impact on morbidity and mortality. The goal of this review is to summarize the available evidence to date on the association of medical comorbidities with PsA and the implications these comorbidities have on...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000152

    authors: Ogdie A,Schwartzman S,Husni ME

    更新日期:2015-03-01 00:00:00

  • Molecular markers for osteoarthritis: the road ahead.

    abstract::Osteoarthritis is a disabling joint disease that is characterized by the progressive destruction of articular cartilage. Diagnosis is based on clinical symptoms in combination with radiography, which is relatively insensitive and provides only an indication of accumulated damage. Alternative methods, such as molecular...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200209000-00019

    authors: DeGroot J,Bank RA,Tchetverikov I,Verzijl N,TeKoppele JM

    更新日期:2002-09-01 00:00:00

  • Emerging cytokine targets in rheumatoid arthritis.

    abstract:PURPOSE OF REVIEW:The utility of cytokines as therapeutic targets in rheumatoid arthritis has been unequivocally demonstrated by the success of tumour necrosis factor blockade in clinical practice. Partial and non-responses to tumour necrosis factor blocking agents, however, together with the increasing clinical drive ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3280eec78c

    authors: Asquith DL,McInnes IB

    更新日期:2007-05-01 00:00:00

  • Clinical trials: types, design, and end-points.

    abstract::Although the pathogenesis of systemic sclerosis is poorly understood, an increasing number of high quality clinical research trials are attempting to modify the overall disease outcome. Survival has improved, largely through therapies focused on single organs. Candidate outcome measures have been tested and a consensu...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200111000-00011

    authors: Seibold JR

    更新日期:2001-11-01 00:00:00

  • Hyperparathyroidism: the limits of surgery in cases of bone or cardiovascular involvement.

    abstract::In primary hyperparathyroidism (PHPT), asymptomatic bone disease can be detected by bone densitometry. The bone mineral density is about 10% lower than normal control values, especially in the cortical radius. Without parathyroidectomy, bone mineral density is frequently stable, but a few patients, mostly postmenopaus...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200007000-00020

    authors: Cormier C,Souberbielle JC,Kindermans C

    更新日期:2000-07-01 00:00:00

  • Clinical and pathologic aspects of arthritis due to Ross River virus and other alphaviruses.

    abstract:PURPOSE OF REVIEW:Arthritogenic alphaviruses are globally distributed mosquito-borne RNA viruses causing epidemics of polyarthritis/arthralgia, with disease emerging or reemerging and increasingly being reported in travelers. This article summarizes the current knowledge of these diseases, focusing on recent developmen...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000130537.76808.26

    authors: Suhrbier A,La Linn M

    更新日期:2004-07-01 00:00:00

  • New classification criteria for systemic lupus erythematosus.

    abstract:PURPOSE OF REVIEW:To compare the recently published European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE with the Systemic Lupus International Collaborating Centers (SLICC) criteria and the earlier ACR criteria, focusing on their key concepts. RECENT FINDING...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章

    doi:10.1097/BOR.0000000000000740

    authors: Aringer M,Petri M

    更新日期:2020-11-01 00:00:00

  • Control of renal uric acid excretion and gout.

    abstract:PURPOSE OF REVIEW:Impaired renal uric acid excretion is the major mechanism of hyperuricemia in patients with primary gout. This review highlights recent advances in the knowledge of normal mechanisms of renal uric acid handling and derangement of these mechanisms in uric acid underexcretion. RECENT FINDINGS:The disco...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3282f33f87

    authors: Taniguchi A,Kamatani N

    更新日期:2008-03-01 00:00:00

  • Innate immunity in host-microbial interactions: beyond B27 in the spondyloarthropathies.

    abstract::The spondyloarthropathies are diseases influenced by genetic predisposition and, to a varying extent, infectious triggers. A causal role for bacterial infections is most clear for reactive arthritis. Recent insights into arthritogenic components of bacteria may set the stage for a better understanding of disease patho...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200207000-00007

    authors: Pacheco-Tena C,Zhang X,Stone M,Burgos-Vargas R,Inman RD

    更新日期:2002-07-01 00:00:00

  • Advances in the early diagnosis and therapy of inclusion body myositis.

    abstract:PURPOSE OF REVIEW:To describe recent advancements in diagnostic and therapeutic approaches to inclusion body myositis (IBM). RECENT FINDINGS:Our understanding of the implications of anti-cytosolic 5'-nucleotidase 1A autoantibody status in IBM and other diseases is increasing. Muscle imaging using magnetic resonance te...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000537

    authors: Lilleker JB

    更新日期:2018-11-01 00:00:00

  • Vasculopathy, Behçet's syndrome, and familial Mediterranean fever.

    abstract::Within the past year information has accumulated on the role of infections in the pathogenesis of vasculitis. Superantigens play an important role in the stimulation of the immune system. Behçet's syndrome is a vasculitis that affects children as well as adults. Recently published childhood studies highlight the impor...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199909000-00011

    authors: Ozen S

    更新日期:1999-09-01 00:00:00

  • Health assessment in the rheumatic diseases of childhood.

    abstract::Assessment of children and adults with rheumatic diseases, both in clinical practice and controlled clinical trials in rheumatology, has traditionally focused on the measurement of disease activity. More recently emphasis has been placed on the need to incorporate estimates of physical, social, and mental functioning ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199709000-00011

    authors: Duffy CM,Duffy KN

    更新日期:1997-09-01 00:00:00

  • Gene expression profiling in pediatric rheumatic disease: what have we learned? What can we learn?

    abstract:PURPOSE OF THIS REVIEW:Gene expression profiling is emerging as a promising methodology in pediatric rheumatology research. There is considerable interest in using this technology as the basis for diagnostic assays. This review will summarize the new knowledge. RECENT FINDINGS:Most gene expression studies of children ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000171212.42252.d1

    authors: Jarvis JN

    更新日期:2005-09-01 00:00:00

  • Epidemiology of the rheumatic diseases.

    abstract::Replication of similar findings in diverse study populations using different study designs provides important evidence for causal inferences regarding risk factors reported in epidemiologic studies. Risk factors for knee osteoarthritis have been substantiated in a number of cross-sectional and longitudinal cohort stud...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199204000-00002

    authors: Kwoh CK

    更新日期:1992-04-01 00:00:00

  • Rheumatic manifestations of neoplasia.

    abstract::Neoplasia in an important cause of rheumatic disease. The mechanisms are either direct infiltration of the bone and joint, or indirect infiltration with manifestations distant from the site of neoplastic involvement. Many of the reports reviewed in this article center on direct associations. In particular, there is a ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199102000-00020

    authors: Schwarzer AC,Schrieber L

    更新日期:1991-02-01 00:00:00

  • The functional impact of the intestinal microbiome on mucosal immunity and systemic autoimmunity.

    abstract:PURPOSE OF REVIEW:This review will highlight recent advances functionally linking the gut microbiome with mucosal and systemic immune cell activation underlying autoimmunity. RECENT FINDINGS:Dynamic interactions between the gut microbiome and environmental cues (including diet and medicines) shape the effector potenti...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000190

    authors: Longman RS,Littman DR

    更新日期:2015-07-01 00:00:00

  • Anti-DNA and autoantibodies.

    abstract::Systemic lupus erythematosus is a prototypic autoimmune disease characterized by antinuclear antibodies (ANAs), including pathogenic specificities to DNA. As shown by recent research, ANA production is a genetically determined process in which self antigens drive B and T cells that have escaped the normal mechanisms o...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200009000-00002

    authors: Pisetsky DS

    更新日期:2000-09-01 00:00:00

  • Microchimerism and systemic sclerosis.

    abstract:PURPOSE OF REVIEW:Although 6 years have elapsed since the initial report describing the presence of microchimeric cells in affected tissues from patients with systemic sclerosis, a mechanism by which these cells might contribute to the pathogenesis of the disease is still unknown. This article reviews the published lit...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000145516.45854.7b

    authors: Jimenez SA,Artlett CM

    更新日期:2005-01-01 00:00:00

  • Cognitive and physical measures in rehabilitation of patients with lupus.

    abstract::During the past 2 years, four papers describing new research studies and three papers reviewing the literature were published. These seven papers address longstanding issues, including 1) the presence or absence of cognitive impairment in systemic lupus erythematosus (SLE), 2) the prevalence of such impairment within ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199809000-00008

    authors: Bleiberg J,Bunning R

    更新日期:1998-09-01 00:00:00

  • Drug-induced lupus erythematosus: an update on drugs and mechanisms.

    abstract:PURPOSE OF REVIEW:Rapid introduction of newly developed drugs in the absence of clear understanding of the pathophysiologic mechanisms behind drug-induced lupus erythematosus (DILE) can sometimes make DILE difficult to recognize in clinical practice. The purpose of this review is to summarize drugs most recently report...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000522

    authors: He Y,Sawalha AH

    更新日期:2018-09-01 00:00:00

  • Work disability in rheumatic diseases.

    abstract:PURPOSE OF REVIEW:To review developments in the literature concerning work disability in the rheumatic diseases. RECENT FINDINGS:There have been three sets of studies to emerge in the last year. In the first, several studies analyze alternative research methods to document work disability. The second set uses qualitat...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3280126b66

    authors: Yelin E

    更新日期:2007-03-01 00:00:00

  • Silicone breast implants and autoimmune rheumatic diseases: myth or reality.

    abstract:PURPOSE OF REVIEW:In the present review, recent findings regarding silicone breast implants (SBIs) complicated by rheumatic autoimmune diseases are described. RECENT FINDINGS:Despite changes in the principal constituents of the silicone implants during the past 50 years, silicone remained an adjuvant that may 'bleed' ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000391

    authors: Cohen Tervaert JW,Colaris MJ,van der Hulst RR

    更新日期:2017-07-01 00:00:00

  • Infectious triggers for vasculitis.

    abstract:PURPOSE OF REVIEW:Infections have been suggested to contribute to disease induction and reactivation in many of the idiopathic vasculitides. This review describes and evaluates the evidence that microbes are involved in the etiopathogenesis of these diseases. RECENT FINDINGS:Large-vessel vasculitis has recently been a...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000068

    authors: van Timmeren MM,Heeringa P,Kallenberg CG

    更新日期:2014-07-01 00:00:00

  • Diffuse alveolar hemorrhage syndromes.

    abstract::Diffuse alveolar hemorrhage (DAH) is a rare yet serious and frequently life-threatening complication of a variety of conditions. DAH may result from coagulation disorders, inhaled toxins, or infections. Most cases of DAH are caused by capillaritis associated with systemic autoimmune diseases such as antineutrophil cyt...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200101000-00003

    authors: Specks U

    更新日期:2001-01-01 00:00:00

  • Blau syndrome revisited.

    abstract:PURPOSE OF REVIEW:Blau syndrome is a monogenic disease resulting from mutations in nucleotide oligomerization domain 2 (NOD2) and is phenotypically characterized by granulomatous polyarthritis and uveitis. Not only there has been significant progress in disease characterization but also the biological pathways associat...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328349c430

    authors: Rose CD,Martin TM,Wouters CH

    更新日期:2011-09-01 00:00:00

  • Pathogenesis of Sjögren's syndrome and therapeutic consequences.

    abstract:PURPOSE OF REVIEW:To summarize recent findings on new pathogenic mechanisms of interaction between genetic and environmental factors and between innate and adaptive immunity in primary Sjögren's syndrome and to reconcile pathogenesis and treatment by focusing on the crucial pathogenic steps that could be targeted by em...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833c36c5

    authors: Mariette X,Gottenberg JE

    更新日期:2010-09-01 00:00:00

  • Autoantibodies in systemic lupus erythematosus.

    abstract::Autoantibodies in systemic lupus erythematosus (SLE) are targeted predominantly to intracellular nucleoprotein particles. Following analysis of the quantitative and qualitative properties of the humoral immune response as well as identification of the major particles recognized as antigens, current studies are address...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199509000-00004

    authors: Elkon K

    更新日期:1995-09-01 00:00:00

  • Clinical assessment of osteoarthritis in clinical trials.

    abstract::The emergence of various therapeutic possibilities in the field of osteoarthritis has strongly prompted clinicians to conduct studies to evaluate the symptomatic as well as the potential chondromodulating effects of these treatments. For this purpose, some authors recently proposed guidelines with regard not only to t...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199503000-00003

    authors: Dougados M

    更新日期:1995-03-01 00:00:00

  • Clinically amyopathic dermatomyositis.

    abstract:PURPOSE OF REVIEW:Clinically amyopathic dermatomyositis (CADM) is a unique subset of dermatomyositis, with typical skin manifestations of dermatomyositis but little or no evidence of myositis. This review focuses on updates on epidemiology, clinical manifestations, and autoantibody profiles in patients with CADM. RECE...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833f1987

    authors: Sato S,Kuwana M

    更新日期:2010-11-01 00:00:00