Structural damage in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis: traditional views, novel insights gained from TNF blockade, and concepts for the future
2011

Structural Damage in Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis

publication Evidence: moderate

Author Information

Author(s): Georg Schett, Laura C. Coates, Zoe R. Ash, Stefanie Finzel, Phillip G. Conaghan

Primary Institution: University of Erlangen-Nuremberg

Hypothesis

The study aims to summarize the clinical picture and pathophysiologic processes of bone and cartilage damage in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

Conclusion

The introduction of TNF blockers has significantly improved the management of structural damage in these inflammatory joint diseases.

Supporting Evidence

  • RA primarily results in bone and cartilage resorption, while PsA combines destructive elements with anabolic bone responses.
  • TNF blockers have shown a strong structure-preserving effect in RA patients.
  • Effective control of inflammation can preserve joint structure, which is critical for maintaining joint function.

Takeaway

This study talks about how different types of arthritis damage bones and cartilage, and how new treatments can help protect joints.

Methodology

The review summarizes existing literature on structural damage in RA, PsA, and AS, focusing on insights gained from TNF blockade.

Limitations

The study primarily reviews existing literature and may not include new experimental data.

Digital Object Identifier (DOI)

10.1186/1478-6354-13-S1-S4

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