Preview

Rheumatology Science and Practice

Advanced search

International guidelines for the management of giant cell arteritis and polymyalgia rheumatica: The 2015 results

https://doi.org/10.14412/1995-4484-2016-390-394

Abstract

New international guidelines for the diagnosis and treatment of systemic vasculitis involving large vessels, which had resulted from the systematic generalization of current scientific achievements and clinical experience, were published in 2015. The experts of the French Large Vessel Vasculitis Study Group have elaborated 15 recommendations covering a wide range of problems of giant cell arteritis; the European League Against Rheumatism and the American College of Rheumatology have presented 9 recommendations for the management of polymyalgia rheumatica. The purpose of this paper is to provide common characteristics of the main points of the new guidelines, by discussing some controversial issues. 

About the Authors

T. V. Beketova
V.A. Nasonova Research Institute of Rheumatology, Moscow
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522 



A. M. Satybaldyev
V.A. Nasonova Research Institute of Rheumatology, Moscow
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522 



L. N. Denisov
V.A. Nasonova Research Institute of Rheumatology, Moscow
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522 



References

1. Jennette JC, Falk RJ, Bacon PA, et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum. 2013;65(1):1-11. doi: 10.1002/art.37715

2. Dejaco C, Singh YP, Perel P, et al; European League Against Rheumatism; American College of Rheumatology. 2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Arthritis Rheumatol. 2015 Oct;67(10):2569-80. doi: 10.1002/art.39333

3. Dejaco C, Singh YP, Perel P, et al; European League Against Rheumatism; American College of Rheumatology. 2015 Recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Ann Rheum Dis. 2015 Oct;74(10):1799-807. doi: 10.1136/annrheumdis-2015-207492

4. Dasgupta B, Borg FA, Hassan N, et al. BSR and BHPR guidelines for the management of giant cell arteriitis. Rheumatology (Oxford). 2010;49:1594-7. doi: 10.1093/rheumatology/keq039a

5. Mukhtyar C, Guillevin L, Cid MC, et al. EULAR recommendations for the management of large vessel vasculitis. Ann Rheum Dis. 2009;68:318-23. doi: 10.1136/ard.2008.088351

6. Dasgupta B, Dolan AL, Panayi GS, Fernandes L. An initially double-blind controlled 96 week trial of depot methylprednisolone against oral prednisolone in the treatment of polymyalgia rheumatica. Br J Rheumatol. 1998;37:189-95. doi: 10.1093/rheumatology/37.2.189

7. Caporali R, Cimmino MA, Ferraccioli G, et al. Systemic Vasculitis Study Group of the Italian Society for Rheumatology. Prednisone plus methotrexate for polymyalgia rheumatica: a randomized, double-blind, placebocontrolled trial. Ann Intern Med. 2004;141:493- 500. doi: 10.7326/0003-4819-141-7-200410050-00005

8. Dasgupta B, Borg FA, Hassan N, et al; on behalf of the BSR and BHPR Standards, Guidelines and Audit Working Group. BSR and BHPR guidelines for the management of polymyalgia rheumatica. Rheumatology (Oxford). 2010;49:186-90. doi: 10.1093/rheumatology/kep303a

9. Duru N, van der Goes MC, Jacobs JW, et al. EULAR evidencebased and consensus-based recommendations on the management of medium to high-dose glucocorticoid therapy in rheumatic diseases. Ann Rheum Dis. 2013;72:1905-13. doi: 10.1136/annrheumdis-2013-203249

10. Ferraccioli G, Salaffi F, de Vita S, et al. Methotrexate in polymyalgia rheumatica: preliminary results of an open, randomized study. J Rheumatol. 1996;23:624-8.

11. Nazarinia AM, Moghimi J, Toussi J. Efficacy of methotrexate in patients with polymyalgia rheumatica. Koomesh. 2012;14:265-70.

12. Osman M, Pagnoux C, Dryden DM, et al. The role of biological agents in the management of large vessel vasculitis (LVV): a systematic review and meta-analysis. PLoS One. 2014 Dec 17;9(12):e115026. doi: 10.1371/journal.pone.0115026

13. Villiger P, Adler S, Kuchen S, et al. Tocilizumab for induction and maintenance of remission in giant cell arteritis: A phase 2, randomised, double-blind, placebo-controlled trial. Lancet. 2016;387:1921-7. doi: 10.1016/S0140-6736(16)00560-2

14. Loricera J, Blanco R, Castaneda S, et al. Tocilizumab in refractory aortitis: study on 16 patients and literature review. Clin Exp Rheumatol. 2014;32(3 Suppl 82):S79-89. doi: 10.1136/annrheumdis-2014-eular.2984

15. Oliveira F, Butendieck RR, Ginsburg WW, et al. Tocilizumab, an effective treatment for relapsing giant cell arteritis. Clin Exp Rheumatol. 2014;32(3 Suppl 82):S76-8.


Review

For citations:


Beketova T.V., Satybaldyev A.M., Denisov L.N. International guidelines for the management of giant cell arteritis and polymyalgia rheumatica: The 2015 results. Rheumatology Science and Practice. 2016;54(4):390-394. (In Russ.) https://doi.org/10.14412/1995-4484-2016-390-394

Views: 1012


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)