Recent advances in the clinical management of giant cell arteritis and Takayasu arteritis.

Abstract:

PURPOSE OF REVIEW:This article critically reviews the advances in medical management of giant cell arteritis (GCA) and Takayasu arteritis (TAK) with a focus on recent developments in targeted biologic therapy. RECENT FINDINGS:The role of biologics in the treatment of large vessel vasculitis (LVV) is expanding. TNFα inhibitors appear to be effective in the treatment of TAK but have little benefit in GCA. Preliminary clinical trial data suggest that abatacept and tocilizumab reduce the risk of relapse in GCA. Increasing observational evidence supports the use of interleukin-6 inhibitors in TAK. Based on a small open-label study, ustekinumab appears safe and potentially effective for refractory GCA. A possible role of B cell dysregulation may contribute to pathogenic mechanisms in LVV, but support for the use of B cell depleting therapy is limited. SUMMARY:Interleukin-6 inhibitors appear efficacious in the treatment of refractory cases of LVV; however, utility in newly diagnosed immunosuppressive-naïve patients is less well established. Abatacept and ustekinumab are promising targets for therapy in LVV but further investigation is needed before routine use is considered.

journal_name

Curr Opin Rheumatol

authors

Koster MJ,Matteson EL,Warrington KJ

doi

10.1097/BOR.0000000000000265

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

211-7

issue

3

eissn

1040-8711

issn

1531-6963

journal_volume

28

pub_type

杂志文章,评审
  • Rheumatoid arthritis medications and lactation.

    abstract:PURPOSE OF REVIEW:In contrast to the disease remission enjoyed by a majority of rheumatoid arthritis (RA) patients during pregnancy, the immediate postpartum period is generally characterized by flare. Managing symptoms during this time is challenging because the potential transfer of medication into the breast milk of...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000055

    authors: Sammaritano LR,Bermas BL

    更新日期:2014-05-01 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

  • New developments in the treatment of Wegener's granulomatosis, polyarteritis nodosa, microscopic polyangiitis, and Churg-Strauss syndrome.

    abstract::With the opportunity for long-term follow-up, it has been appreciated that disease severity may vary considerably in patients with Wegener's granulomatosis, polyarteritis nodosa, microscopic polyangiitis, and Churg-Strauss syndrome. Although combined therapy with cyclophosphamide and glucocorticoids continues to be th...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199701000-00005

    authors: Langford CA,Sneller MC

    更新日期:1997-01-01 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

  • Complementary medicine for axial spondyloarthritis: is there any scientific evidence?

    abstract:PURPOSE OF REVIEW:Majority of patients with axial spondyloarthritis (axSpA) report use of complementary and alternative medicine (CAM) therapies before and even after the diagnosis, due to perceived efficacy and wide-spread belief that these modalities lack side effects. In this review, we describe the available scient...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000513

    authors: Danve A,Deodhar AA

    更新日期:2018-07-01 00:00:00

  • Relationship between joint shape and the development of osteoarthritis.

    abstract:PURPOSE OF REVIEW:To present an updated summary of the relationship between joint shape and the development of osteoarthritis, with a particular focus on osteoarthritis of the hip. RECENT FINDINGS:Osteoarthritis of the hip is highly heritable, with a genetic contribution estimated at 60%. Among the genes that have bee...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833d20ae

    authors: Baker-LePain JC,Lane NE

    更新日期:2010-09-01 00:00:00

  • Connective tissue metabolism including cytokines in scleroderma.

    abstract::A growing body of evidence is shedding light on how vascular injury, tissue mononuclear cell infiltrates, and fibrogenesis are related in the pathogenesis of systemic sclerosis. Recent evidence points to a role for adhesion molecules in the binding of mononuclear leukocytes to endothelium and transvascular migration o...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199305060-00012

    authors: Postlethwaite AE

    更新日期:1993-11-01 00:00:00

  • Apoptosis in systemic lupus erythematosus.

    abstract::Systemic lupus erythematosus is a complex, multisystem autoimmune disease characterized by production of high-titer autoantibodies directed against ubiquitously expressed self-antigens. Autoantigens in systemic lupus erythematosus are highly diverse in terms of structure and location in control cells, but become clust...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200309000-00006

    authors: White S,Rosen A

    更新日期:2003-09-01 00:00:00

  • Neutrophils in lupus nephritis.

    abstract:PURPOSE OF REVIEW:Systemic lupus erythematosus (SLE) is a multiorgan autoimmune disease characterized by IgG-autoantibodies to nuclear antigens that can deposit in the kidney and trigger lupus nephritis. Neutrophils accumulate in the kidneys of patients with proliferative LUPUS NEPHRITIS and neutrophil products and a s...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000577

    authors: Nishi H,Mayadas TN

    更新日期:2019-03-01 00:00:00

  • Antiphospholipid antibody and antiphospholipid antibody syndrome.

    abstract::Over the past year, many reports have been published on a variety of clinical manifestations related to antiphospholipid antibodies. The low prevalence of anticardiolipin antibodies with the rare occurrence of thrombosis and a low rate of fetal loss in studies in Malaysia and China showed a potential role for local fa...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Sugai S

    更新日期:1992-10-01 00:00:00

  • The socioeconomic impact of vasculitis.

    abstract::Information detailing the socioeconomic impact of the vasculitides on society has been difficult to obtain. Recent published studies provide preliminary information suggesting that the impact of systemic vasculitis may be significant and far greater than previously anticipated. A rough estimate of expenditures for vas...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200001000-00004

    authors: Cotch MF

    更新日期:2000-01-01 00:00:00

  • Osteoporosis prevention.

    abstract:PURPOSE OF REVIEW:Patients with osteoporosis suffer from the morbidity and mortality associated with resultant fractures. The number of persons at risk for fractures is increasing as the US population ages. This review addresses preventive strategies that can be used to decrease the risk of minimal trauma fractures. R...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3283439426

    authors: Grossman JM

    更新日期:2011-03-01 00:00:00

  • Recent advances in scleroderma-associated pulmonary hypertension.

    abstract:PURPOSE OF REVIEW:This review summarizes recent advances in pulmonary hypertension, a leading cause of morbidity and mortality in scleroderma (SSc). RECENT FINDINGS:Although WHO Group I pulmonary arterial hypertension (PAH) is the most common cause of pulmonary hypertension, all WHO Groups can occur. PAH is now a crit...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000114

    authors: Highland KB

    更新日期:2014-11-01 00:00:00

  • Biologics in the treatment of Sjogren's syndrome, systemic lupus erythematosus, and lupus nephritis.

    abstract:PURPOSE OF REVIEW:It is an understatement to say that drug approvals in systemic lupus erythematosus (SLE), lupus nephritis, and Sjogren's syndrome have lagged far behind those in other autoimmune diseases, such as rheumatoid arthritis and psoriatic arthritis. Reasons for this are multiple and include the molecular and...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章

    doi:10.1097/BOR.0000000000000754

    authors: Narain S,Berman N,Furie R

    更新日期:2020-11-01 00:00:00

  • HLA-B27 structure, function, and disease association.

    abstract::The polymorphism of HLA-B27 alleles is located in the peptide-anchoring motif. In recent years, fundamental insights have been made into the molecular aspects of HLA-B27-restricted presentation. Subtle differences in peptide binding fine specificity are especially interesting for closely related HLA-B27 alleles that h...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199607000-00005

    authors: López-Larrea C,Gonzalez-Roces S,Alvarez V

    更新日期:1996-07-01 00:00:00

  • Systemic lupus and malignancies.

    abstract:PURPOSE OF REVIEW:Individuals with systemic lupus erythematosus (SLE) have an increased susceptibility to certain types of cancer. Given concerns focused on this issue, we present a review of this important topic. RECENT FINDINGS:In non-Hodgkin lymphoma (NHL), a several-fold increased risk is seen in SLE versus the ge...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32834ff258

    authors: Bernatsky S,Kale M,Ramsey-Goldman R,Gordon C,Clarke AE

    更新日期:2012-03-01 00:00:00

  • Antinuclear autoantibodies in systemic lupus erythematosus.

    abstract:PURPOSE OF REVIEW:The production of autoantibodies against nuclear antigens is the hallmark of systemic lupus erythematosus. Among the large number of autoantibodies known, only a limited number appear to be clinically important. The various autoantibodies have different clinical significance in lupus patients. In this...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000135452.62800.8f

    authors: Sawalha AH,Harley JB

    更新日期:2004-09-01 00:00:00

  • Update on the treatment and outcome of systemic lupus erythematous in children.

    abstract:PURPOSE OF REVIEW:Provide an update of studies published in last 2 years on the outcomes and therapies in childhood-onset systemic lupus erythematous (cSLE). RECENT FINDINGS:Additional evidence has been provided about the benefits of universal hydroxychloroquine in SLE patients, although antimalarial maculopathy may b...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000621

    authors: Rodriguez-Smith J,Brunner HI

    更新日期:2019-09-01 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

  • Evaluation and treatment of central nervous system vasculitis.

    abstract::Angiitis of the central nervous system (CNS) remains a poorly understood and clinically challenging form of vascular inflammatory disease. Primary angiitis of the CNS (PACNS) has been viewed as a relentless and uniformly fatal disorder if untreated. In addition, recent trends have demonstrated an increasing reliance o...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Calabrese LH,Duna GF

    更新日期:1995-01-01 00:00:00

  • Inflammatory factors in age-related muscle wasting.

    abstract:PURPOSE OF REVIEW:This review focuses on recent evidence pointing to the importance of inflammatory factors in the onset and progression of age-related muscle wasting, also known as sarcopenia, and discusses critical areas of uncertainty within the literature that require further development in order to identify novel ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000245722.10136.6d

    authors: Roth SM,Metter EJ,Ling S,Ferrucci L

    更新日期:2006-11-01 00:00:00

  • Strontium ranelate: a dual mode of action rebalancing bone turnover in favour of bone formation.

    abstract::The increased bone remodeling in women after menopause induces an imbalance between bone resorption and formation, leading to decreased bone mass, altered bone microarchitecture, and increased fracture risk. Current antiosteoporotic drugs decrease bone remodeling or increase bone formation. Strontium ranelate (Protelo...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章

    doi:10.1097/01.bor.0000229522.89546.7b

    authors: Marie PJ

    更新日期:2006-06-01 00:00:00

  • Role of major histocompatibility complex class I molecules in autoimmune myositis.

    abstract:PURPOSE OF REVIEW:Recent work has continued to clarify the role of major histocompatibility complex class I in the pathogenesis of autoimmune myositis. In the past year, several new observations have been made in this area. This review describes these findings and discusses their relevance to the pathogenesis of autoim...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000179947.58271.9a

    authors: Nagaraju K

    更新日期:2005-11-01 00:00:00

  • Cryoglobulinemic vasculitis.

    abstract:PURPOSE OF REVIEW:Cryoglobulinemic vasculitis is an immune-complex-mediated systemic vasculitis involving small-medium-sized vessels. A causative role of hepatitis C virus in over 80% patients has been definitively established, with heterogeneous geographical distribution. This review focuses on recent etiopathogenetic...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000198002.42826.c2

    authors: Ferri C,Mascia MT

    更新日期:2006-01-01 00:00:00

  • Childhood systemic sclerosis.

    abstract:PURPOSE OF REVIEW:Juvenile systemic sclerosis has a variety of clinical manifestations, sometimes different from the adult form. Early recognition, proper classification and treatment may improve the long-term outcome. RECENT FINDINGS:A large multicenter study coordinated by the Pediatric Rheumatology European Society...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3282f01625

    authors: Zulian F,Martini G

    更新日期:2007-11-01 00:00:00

  • Emerging new pathways of pathogenesis and targets for treatment in systemic lupus erythematosus and Sjogren's syndrome.

    abstract:PURPOSE OF REVIEW:Systemic lupus erythematosus (SLE) and Sjogren's syndrome are chronic inflammatory diseases characterized by the dysfunction of T cells, B cells, and dendritic cells and the production of antinuclear autoantibodies. Here, we evaluate newly discovered molecular and cellular targets for the treatment of...

    journal_title:Current opinion in rheumatology

    pub_type: 社论,评审

    doi:10.1097/BOR.0b013e32832efe6b

    authors: Perl A

    更新日期:2009-09-01 00:00:00

  • An update on IgG4-related disease.

    abstract:PURPOSE OF REVIEW:IgG4-related disease (IgG4-RD) is a recently described fibroinflammatory condition that can affect nearly any organ. Our knowledge of this condition--its manifestations, diagnosis, pathogenesis and treatment--is expanding rapidly. RECENT FINDINGS:This review highlights the most recent developments in...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000133

    authors: Wallace ZS,Stone JH

    更新日期:2015-01-01 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

  • The role of drug and disease registries in rheumatic disease epidemiology.

    abstract:PURPOSE OF REVIEW:This review highlights the present state of efforts at registry implementation which exist internationally. These efforts are contrasted with those in the USA. RECENT FINDINGS:The implications of the different data which are derived from diverse registry sources are discussed. The need for long-term ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3282f50eb1

    authors: Kremer JM,Gibofsky A,Greenberg JD

    更新日期:2008-03-01 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