作者
Daniel Wendling,Omar Al Tabaa,Baptiste Chevet,Frank Verhoeven,Roba Ghossan,Sophie Hecquet,Emmanuelle Dernis,E. Maheu,Alain Saraux,Florent L. Besson,Guillermo Carvajal Alegria,Bernard Cortet,Bruno Fautrel,Renaud Felten,Jacques Morel,Sébastien Ottaviani,Solène Querellou,A. Ramon,Adeline Ruyssen-Witrand,Raphaèle Séror,Anne Tournadre,Nathan Foulquier,B. Verlhac,Frank Verhoeven,Valérie Devauchelle‐Pensec
摘要
Objective: To develop recommendations for the routine management of patients with polymyalgia rheumatica (PMR) Methods: Following standard procedures, a systematic review of the literature by 5 supervised junior rheumatologists, based on the questions selected by the steering committee (5 senior rheumatologists), was used as the basis for working meetings, followed by a one-day plenary meeting with the working group (15 members), leading to the development of the wording and determination of the strength of the recommendations and the level of agreement of the experts. Results: Five general principles and 19 recommendations were drawn up. Three recommendations relate to diagnosis and the use of imaging, and 5 to the assessment of the disease, its activity and co-morbidities. Non-pharmacological therapies are the subject of one recommendation. Three recommendations concern initial treatment based on general corticosteroid therapy, 5 concern the reduction of corticosteroid therapy and follow-up, and 2 concern corticosteroid dependence and steroid-sparing treatments (anti-IL-6). Conclusion: These recommendations take account of current data on PMR, with the aim of reducing exposure to corticosteroid therapy and its side effects in a fragile population. They are intended to be practical, to help practitioners in the day-to-day management of patients with PMR.