Auswahl klinischer und diagnostischer Ergebnisse bei entzündlichen Gelenkerkrankungen

Jacqueline Detert

doi:10.1055/s-0043-119415

Aktuelle Rheumatologie, Inhaltsverzeichnis

Aktuelle Rheumatologie 2018; 43(02): 143-155
DOI: 10.1055/s-0043-119415

Übersichtsarbeit

Auswahl klinischer und diagnostischer Ergebnisse bei entzündlichen Gelenkerkrankungen

Selection of Clinical and Diagnostic Results of Inflammatory Joint Diseases

Jacqueline Detert

¹Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Klinik m.S. Rheumatologie und Klinische Immunologie, CC12, Berlin

› Institutsangaben

Abstract

Zusammenfassung

Zahlreiche Fortschritte in der Grundlagenforschung, in der Diagnostik und Therapie in den letzten Jahren führen dazu, dass Patienten mit einer entzündlichen Gelenkerkrankung eine Remission bzw. niedrigstmögliche Krankheitsaktivität, Lebensqualität, einen Erhalt ihrer Arbeitsfähigkeit als auch das Beibehalten der sozialen Integration beibehalten. Diese Erfolge werden schrittweise versucht, auf andere Autoimmunerkrankungen zu übertragen. Es zeigt sich gerade auf dem Gebiet der Medikamentenentwicklung jedoch immer wieder, dass es sich um pathogenetisch unterschiedlich verursachte Erkrankungen handelt und Therapieerfolge nicht immer gleichermaßen erreichbar sind. Jedoch sind inzwischen zahlreiche Medikamente zur Behandlung der entzündlichen Gelenkerkrankungen verfügbar, weitere werden derzeit intensiv in klinischen Studien geprüft bzw. sind zur Zulassungsentscheidung bei den Aufsichtsbehörden registriert. So sind auch in den nächsten Jahren weitere Therapiemöglichkeiten zu erwarten. Die rheumatoide Arthritis ist ein Beispiel dieser Erfolgsgeschichte, so dass inzwischen sogar die Frage diskutiert wird, ob diese Erkrankung präventiv zu behandeln und somit die Manifestation der Erkrankung zu stoppen ist. Diese Übersicht vermittelt eine Auswahl aktueller Forschungsergebnisse und Medikamentenentwicklungen bei entzündlichen Gelenkerkrankungen.

Abstract

Numerous advances in basic medical and biological research, diagnostics and therapy in recent years have resulted in patients with inflammatory joint disease achieving remission or the lowest possible disease activity, and maintaining quality of life, ability to work and social integration. These successes are being tried to transfer to other autoimmune diseases in a step-by-step approach. In the field of drug development, however, it has been shown repeatedly that these diseases have different pathogenetic causes, and that it is not possible to achieve equal treatment success in all cases. However, a large number of drugs are now available for the treatment of inflammatory joint diseases; others are being studied intensively in clinical trials or are registered with the regulatory authorities. Further therapeutic possibilities are to be expected in the coming years. Rheumatoid arthritis is an example of this success story, so there are discussions ongoing on whether or not it would be possible to treat this disease preventively, thereby stopping its manifestation in the first place. This overview provides a selection of current research results and drug developments in inflammatory joint diseases.

Schlüsselwörter

Rheumatoide Arthritis - Psoriasisarthritis - Spondyloarthritis - Biologika - DMARD, JAK

Key words

Rheumatoid Arthritis - Psoriasis arthritis - Spondyloarthritis - Biologics - DMARD - JAK

Volltext

Referenzen

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