Европейский конгресс ревматологов, (Париж, 11–14 июня 2014 г.) – проблемы ревматоидного артрита

В июне 2014 г. в Париже прошел 15-й ежегодный Европейский конгресс ревматологов. Программа конгресса была чрезвычайно многообразна, она включала обсуждение новых данных, касающихся диагностики и лечения наиболее распространенных ревматических заболеваний, проблем их этиологии и патогенеза, персонифицированной терапии и многое другое. Одно из центральных мест на конгрессе занимали вопросы раннего ревматоидного артрита (РА). Ряд работ касался эффективности и безопасности применения различных схем терапии РА в дебюте заболевания, вопросам отмены терапии генно-инженерными биологическими препаратами при достижении ремиссии, а также сохранение безлекарственной ремиссии РА. На конгрессе обсуждались новые результаты исследования tREACH, в котором сравнивались три схемы лечения пациентов с ранним воспалительным артритом: комбинированная терапия метотрексатом (МТ), сульфасалазином и гидроксихлорохином в сочетании с внутримышечным введением глюкокортикоидов (ГК), комбинированной терапии этими препаратами и перорально принимаемыми ГК и монотерапии МТ с пероральным приемом ГК Большое количество докладов касалось применения ингибиторов фактора некроза опухоли α, оценке их иммуногенности, а также анализу причин отмены терапии и нежелательным реакциям, развивающимся на фоне лечения. Обсуждались некоторые аспекты терапии традиционными базисными противовоспалительными препаратами. Ряд докладов касался применения новых лабораторных биомаркеров РА. Таким образом, на конгрессе было представлено достаточно много новых данных, которые позволят оптимизировать терапию такого распространенного ревматического заболевания, как РА.

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