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[Spondyloarthritis in childhood and adulthood]. / Spondyloarthritiden im Kindes- und Erwachsenenalter.
Hospach, Toni; Horneff, Gerd; Poddubnyy, Denis.
Afiliação
  • Hospach T; Zentrum für pädiatrische Rheumatologie, am Klinikum Stuttgart (ZEPRAS), Kriegsbergstr 62, 70176, Stuttgart, Deutschland. a.hospach@klinikum-stuttgart.de.
  • Horneff G; Rheumazentrum für Kinder und Jugendliche, St. Augustin, Deutschland.
  • Poddubnyy D; Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Campus Benjamin Franklin, Charité, Berlin, Deutschland.
Z Rheumatol ; 81(1): 14-21, 2022 Feb.
Article em De | MEDLINE | ID: mdl-34985566
Axial spondylarthritis in adulthood (SpAA) is frequently initially manifested as a sacroiliitis, whereas this not true for enthesitis-related arthritis (EAA), which begins in childhood and adolescence. Classically, EAA begins with peripheral arthritis and only a part transitions into a juvenile SpA (jSpA) or SpAA. The criteria used for classification of SpAA and EAA are currently being validated and revised. For the first time imaging is included for EAA. For both diseases nonsteroidal anti-inflammatory drugs (NSAID) are initially used therapeutically, followed by biologicals or synthetic targeted disease-modifying drugs in refractory courses. Steroids should be avoided in long-term treatment. For optimal transition and further care in adulthood, a close cooperation between internistic and pediatric rheumatologists is necessary.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Produtos Biológicos / Espondilartrite / Sacroileíte Idioma: De Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Produtos Biológicos / Espondilartrite / Sacroileíte Idioma: De Ano de publicação: 2022 Tipo de documento: Article