D*******a
发帖数: 1723 | 1 【 以下文字转载自 Medicine 讨论区 】
发信人: Dogerella (Cherry), 信区: Medicine
标 题: 血清阴性脊柱骨关节炎，在美国怎么治？
发信站: BBS 未名空间站 (Sun Feb 12 07:46:46 2012, 美东)
亲戚诊断这个病，吃药都是非甾体消炎的。西乐葆-就是塞来昔布吃了十几年，胃肠都
吃坏了，很痛苦。请问美国这个病怎么治疗？多谢 | y******a
发帖数: 590 | 2 if it's ankylosing spondylitis:
first line treatment- physical therapy, NSAIDs if patient has inflammatory
back pain or other joint pain
if not respond to NSAIDs (have tried three different NSAIDs, still have pain
), try TNF alpha inhibitor, like infliximab, adalimumab, or eternacept. No
study so far demonstrated any difference of these three meds.
NO disease modifying medications so far, based on current available trials.
If it's other seronegative spondylitis, like psoriatic arthritis or reactive arthritis, the treatment is different. | D*******a
发帖数: 1723 | 3 thanks a lot
pain
No
.
reactive arthritis, the treatment is different.
【在 y******a 的大作中提到】
: if it's ankylosing spondylitis:
: first line treatment- physical therapy, NSAIDs if patient has inflammatory
: back pain or other joint pain
: if not respond to NSAIDs (have tried three different NSAIDs, still have pain
: ), try TNF alpha inhibitor, like infliximab, adalimumab, or eternacept. No
: study so far demonstrated any difference of these three meds.
: NO disease modifying medications so far, based on current available trials.
:
: If it's other seronegative spondylitis, like psoriatic arthritis or reactive arthritis, the treatment is different.
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