EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use

The role of glucocorticoids (GCs) in the current strategy of treating rheumatoid arthritis (RA) according to the EULAR 2013 recommendation is discussed. The main studies focused on GCs since they started to be used to treat RA are reviewed. The difficulties, advantages, and draw- backs of using GCs...

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Main Author: N.V. Chichasova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2014-05-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/547
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author N.V. Chichasova
author_facet N.V. Chichasova
author_sort N.V. Chichasova
collection DOAJ
description The role of glucocorticoids (GCs) in the current strategy of treating rheumatoid arthritis (RA) according to the EULAR 2013 recommendation is discussed. The main studies focused on GCs since they started to be used to treat RA are reviewed. The difficulties, advantages, and draw- backs of using GCs to treat RA, as well as possibilities to affect progression of destruction in small joints of the hands and feet, are discussed. Since new data have recently been obtained, EULAR recommendations 2013 for the management of RA patients states the following for GCs: «The use low doses of GCs (combined with one or several disease-modifying anti-rheumatic drugs) should be considered as a component of the treatment strategy during the first six months of the disease». It is particularly emphasized that GCs should be abandoned as soon as it is pos- sible from the clinical viewpoint. The term «low dose of GC» means prednisolone prescribed at a dose ≤7.5 mg/day.
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series Современная ревматология
spelling doaj-art-12d97ab52ab342e0acf14184c13d1feb2025-08-20T03:44:10ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2014-05-0182283410.14412/1996-7012-2014-2-28-341848EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid useN.V. Chichasova0V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, Moscow, RussiaThe role of glucocorticoids (GCs) in the current strategy of treating rheumatoid arthritis (RA) according to the EULAR 2013 recommendation is discussed. The main studies focused on GCs since they started to be used to treat RA are reviewed. The difficulties, advantages, and draw- backs of using GCs to treat RA, as well as possibilities to affect progression of destruction in small joints of the hands and feet, are discussed. Since new data have recently been obtained, EULAR recommendations 2013 for the management of RA patients states the following for GCs: «The use low doses of GCs (combined with one or several disease-modifying anti-rheumatic drugs) should be considered as a component of the treatment strategy during the first six months of the disease». It is particularly emphasized that GCs should be abandoned as soon as it is pos- sible from the clinical viewpoint. The term «low dose of GC» means prednisolone prescribed at a dose ≤7.5 mg/day.https://mrj.ima-press.net/mrj/article/view/547rheumatoid arthritisglucocorticoidsmanagement of patientseular recommendations.
spellingShingle N.V. Chichasova
EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use
Современная ревматология
rheumatoid arthritis
glucocorticoids
management of patients
eular recommendations.
title EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use
title_full EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use
title_fullStr EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use
title_full_unstemmed EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use
title_short EULAR recommendation for the management of rheumatoid arthritis (2013): glucocorticoid use
title_sort eular recommendation for the management of rheumatoid arthritis 2013 glucocorticoid use
topic rheumatoid arthritis
glucocorticoids
management of patients
eular recommendations.
url https://mrj.ima-press.net/mrj/article/view/547
work_keys_str_mv AT nvchichasova eularrecommendationforthemanagementofrheumatoidarthritis2013glucocorticoiduse