Management of Rheumatoid Arthritis: An Overview
Rheumatoid arthritis (RA) is a multifactorial autoimmune disease of unknown etiology, primarily affecting the joints, then extra-articular manifestations can occur. Due to its complexity, which is based on an incompletely elucidated pathophysiological mechanism, good RA management requires a multidi...
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2021
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oai:doaj.org-article:45fc4e972b9a46aaa9b74c8fc12fc72b2021-11-25T17:08:08ZManagement of Rheumatoid Arthritis: An Overview10.3390/cells101128572073-4409https://doaj.org/article/45fc4e972b9a46aaa9b74c8fc12fc72b2021-10-01T00:00:00Zhttps://www.mdpi.com/2073-4409/10/11/2857https://doaj.org/toc/2073-4409Rheumatoid arthritis (RA) is a multifactorial autoimmune disease of unknown etiology, primarily affecting the joints, then extra-articular manifestations can occur. Due to its complexity, which is based on an incompletely elucidated pathophysiological mechanism, good RA management requires a multidisciplinary approach. The clinical status of RA patients has improved in recent years due to medical advances in diagnosis and treatment, that have made it possible to reduce disease activity and prevent systemic complications. The most promising results were obtained by developing disease-modifying anti-rheumatic drugs (DMARDs), the class to which conventional synthetic, biologic, and targeted synthetic drugs belong. Furthermore, ongoing drug development has led to obtaining molecules with improved efficacy and safety profiles, but further research is needed until RA turns into a curable pathology. In the present work, we offer a comprehensive perspective on the management of RA, by centralizing the existing data provided by significant literature, emphasizing the importance of an early and accurate diagnosis associated with optimal personalized treatment in order to achieve better outcomes for RA patients. In addition, this study suggests future research perspectives in the treatment of RA that could lead to higher efficacy and safety profiles and lower financial costs.Andrei-Flavius RaduSimona Gabriela BungauMDPI AGarticlerheumatoid arthritisanti-citrullinated protein antibodiesrheumatoid factorextra-articular manifestationsDMARDsJanus kinase inhibitorsBiology (General)QH301-705.5ENCells, Vol 10, Iss 2857, p 2857 (2021) |
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rheumatoid arthritis anti-citrullinated protein antibodies rheumatoid factor extra-articular manifestations DMARDs Janus kinase inhibitors Biology (General) QH301-705.5 |
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rheumatoid arthritis anti-citrullinated protein antibodies rheumatoid factor extra-articular manifestations DMARDs Janus kinase inhibitors Biology (General) QH301-705.5 Andrei-Flavius Radu Simona Gabriela Bungau Management of Rheumatoid Arthritis: An Overview |
description |
Rheumatoid arthritis (RA) is a multifactorial autoimmune disease of unknown etiology, primarily affecting the joints, then extra-articular manifestations can occur. Due to its complexity, which is based on an incompletely elucidated pathophysiological mechanism, good RA management requires a multidisciplinary approach. The clinical status of RA patients has improved in recent years due to medical advances in diagnosis and treatment, that have made it possible to reduce disease activity and prevent systemic complications. The most promising results were obtained by developing disease-modifying anti-rheumatic drugs (DMARDs), the class to which conventional synthetic, biologic, and targeted synthetic drugs belong. Furthermore, ongoing drug development has led to obtaining molecules with improved efficacy and safety profiles, but further research is needed until RA turns into a curable pathology. In the present work, we offer a comprehensive perspective on the management of RA, by centralizing the existing data provided by significant literature, emphasizing the importance of an early and accurate diagnosis associated with optimal personalized treatment in order to achieve better outcomes for RA patients. In addition, this study suggests future research perspectives in the treatment of RA that could lead to higher efficacy and safety profiles and lower financial costs. |
format |
article |
author |
Andrei-Flavius Radu Simona Gabriela Bungau |
author_facet |
Andrei-Flavius Radu Simona Gabriela Bungau |
author_sort |
Andrei-Flavius Radu |
title |
Management of Rheumatoid Arthritis: An Overview |
title_short |
Management of Rheumatoid Arthritis: An Overview |
title_full |
Management of Rheumatoid Arthritis: An Overview |
title_fullStr |
Management of Rheumatoid Arthritis: An Overview |
title_full_unstemmed |
Management of Rheumatoid Arthritis: An Overview |
title_sort |
management of rheumatoid arthritis: an overview |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/45fc4e972b9a46aaa9b74c8fc12fc72b |
work_keys_str_mv |
AT andreiflaviusradu managementofrheumatoidarthritisanoverview AT simonagabrielabungau managementofrheumatoidarthritisanoverview |
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1718412709861523456 |