Repositório Digital

A- A A+

2012 Brazilian Society of Rheumatology Consensus on the management of comorbidities in patients with rheumatoid arthritis

.

2012 Brazilian Society of Rheumatology Consensus on the management of comorbidities in patients with rheumatoid arthritis

Mostrar registro completo

Estatísticas

Título 2012 Brazilian Society of Rheumatology Consensus on the management of comorbidities in patients with rheumatoid arthritis
Outro título Consenso 2012 da Sociedade Brasileira de Reumatologia sobre o manejo de comorbidades em pacientes com artrite reumatoide
Autor Pereira, Ivânio Alves
Mota, Licia Maria Henrique da
Cruz, Boris Afonso
Brenol, Claiton Viegas
Fronza, Lucila Stange Rezende
Bertolo, Manoel Barros
Freitas, Max Victor Carioca de
Silva, Nilzio Antonio da
Louzada Junior, Paulo
Giorgi, Rina Dalva Neubarth
Lima, Rodrigo Aires Corrêa
Bonfá, Eloisa Silva Dutra de Oliveira
Pinheiro, Geraldo da Rocha Castelar
Abstract Objective: To elaborate recommendations of the Rheumatoid Arthritis Committee of the Brazilian Society of Rheumatology (SBR) to manage comorbidities in rheumatoid arthritis (RA). Methods: To review the literature and the opinions of the SBR RA Committee experts. Results and conclusions: Recommendations: 1) Early diagnosis and proper treatment of comorbidities are recommended; 2) The specifi c treatment of RA should be adapted to the presence of comorbidities; 3) Angiotensin-converting-enzyme inhibitors or angiotensin II receptor blockers are preferred to treat systemic arterial hypertension; 4) In patients diagnosed with rheumatoid arthritis and diabetes mellitus, the continuous use of a high cumulative dose of corticoids should be avoided; 5) Statins should be used to maintain LDL cholesterol levels under 100 mg/dL and the atherosclerotic index lower than 3.5 in patients with RA who have other comorbidities; 6) Metabolic syndrome should be treated; 7) Performing non-invasive tests to investigate subclinical atherosclerosis is recommended; 8) Greater surveillance for the early diagnosis of occult malignancy is recommended; 9) Preventive measures of venous thrombosis are suggested; 10) Bone densitometry is recommended in RA patients over the age of 50 years and in younger patients on corticoid therapy at a dose greater than 7.5 mg for over three months; 11) Patients with RA and osteoporosis should be instructed to avoid falls, to increase their dietary calcium intake and sun exposure, and to exercise; 12) Calcium and vitamin D supplementation is suggested. Bisphosphonates are suggested for patients with T score < –2.5 on bone densitometry; 13) A multidisciplinary team, with the active participation of a rheumatologist, is recommended to treat comorbidities.
Contido em Revista brasileira de reumatologia. Campinas. Vol. 52, n. 4 (jul./ago. 2012), p. 474-495
Assunto Artrite reumatóide
Comorbidade
Consenso
Diabetes mellitus
Dislipidemias
[en] Arterial hypertension
[en] Comorbidities
[en] Diabetes mellitus
[en] Dyslipidemia
[en] Rheumatoid arthritis
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/147019
Arquivos Descrição Formato
000986365.pdf (817.4Kb) Texto completo (inglês) Adobe PDF Visualizar/abrir

Este item está licenciado na Creative Commons License

Este item aparece na(s) seguinte(s) coleção(ões)


Mostrar registro completo

Percorrer



  • O autor é titular dos direitos autorais dos documentos disponíveis neste repositório e é vedada, nos termos da lei, a comercialização de qualquer espécie sem sua autorização prévia.
    Projeto gráfico elaborado pelo Caixola - Clube de Criação Fabico/UFRGS Powered by DSpace software, Version 1.8.1.