新型冠状病毒肺炎与类风湿关节炎的研究进展

Research advances in Coronavirus Disease 2019 and rheumatoid arthritis

  • 摘要: 类风湿关节炎(RA)是一种慢性炎症性疾病,主要累及滑膜,还可侵蚀骨关节,甚至导致关节功能丧失。新型冠状病毒肺炎(COVID-19)患者可有肌肉骨骼症状,且危重症者病死率高。细胞因子在RA和COVID-19的发病中起重要作用,但其具体机制尚不清楚,研究应用于RA的抗风湿药物或可指导COVID-19的治疗。本文对COVID-19与RA的相关研究进行综述,以期进一步提高对疾病发病机制、临床表现和治疗药物的认识,从而改善患者预后。

     

    Abstract: Rheumatoid arthritis(RA) is an autoimmune disease characterized by chronic synovial inflammation,which eventually leads to different degrees of bone and cartilage erosion,even disability of joint.The patients of Coronavirus Disease 2019(COVID-19) can have musculoskeletal symptoms,and the mortality rate of critical patients is high.Cytokines play an important role in the pathogenesis of RA and COVID-19,the exact mechanism of which is unknown,and commonly used drugs of RA may guide the treatment of COVID-19.This article mainly reviewed the correlation between COVID-19 and RA in order to further improve the understanding of thepathogenesis,clinical manifestations,and treatment drugs of the disease and improve patients' outcomes.

     

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