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Therapeutic Recomme...
Therapeutic Recommendations for the Management of Older Adult Patients with Sjögren’s Syndrome
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- Retamozo, Soledad (författare)
- Hospital Universitari De Sabadell-corporació Parc Taulí,Instituto Modelo de Cardiología Privado SRL,Instituto Universitario de Ciencias Biomédicas de Córdoba
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- Baldini, Chiara (författare)
- University of Pisa
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- Bootsma, Hendrika (författare)
- University of Groningen,University Medical Center Groningen
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- De Vita, Salvatore (författare)
- University Hospital 'Santa Maria della Misericordia'
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- Dörner, Thomas (författare)
- Charité - University Medicine Berlin
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- Fisher, Benjamin A. (författare)
- University Hospitals Birmingham,University of Birmingham
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- Gottenberg, Jacques-eric (författare)
- University of Strasbourg
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- Hernández-molina, Gabriela (författare)
- Instituto Nacional de Ciencias Médicas y Nutrición
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- Kocher, Agnes (författare)
- University of Basel,University of Bern
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- Kostov, Belchin (författare)
- Polytechnic University of Catalonia,Institutd' Investigacions Biomèdiques August Pi iSunyer (IDIBAPS),El Consorci d’Atenció Primària de Salut Barcelona Esquerra
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- Kruize, Aike A. (författare)
- University Medical Center Utrecht
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- Mandl, Thomas (författare)
- Lund University,Lunds universitet,Reumatologi,Forskargrupper vid Lunds universitet,Rheumatology,Lund University Research Groups
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- Ng, Wan-fai (författare)
- University of Newcastle upon Tyne,NIHR Newcastle Biomedical Research Centre
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- Seror, Raphaèle (författare)
- University of Paris-Saclay,Bicêtre Hospital
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- Shoenfeld, Yehuda (författare)
- Sheba Medical Center,I.M. Sechenov First Moscow State Medical University
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- Sisó-almirall, Antoni (författare)
- University of Barcelona,Institutd' Investigacions Biomèdiques August Pi iSunyer (IDIBAPS)
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- Tzioufas, Athanasios G. (författare)
- National and Kapodistrian University of Athens
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- Vissink, Arjan (författare)
- University of Groningen,University Medical Center Groningen
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- Vitali, Claudio (författare)
- Villa San Giuseppe Santo Stefano Riabilitazione, Como
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- Bowman, Simon J. (författare)
- University Hospitals Birmingham
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- Mariette, Xavier (författare)
- Bicêtre Hospital,University of Paris-Saclay
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- Ramos-casals, Manuel (författare)
- Hospital Clínic of Barcelona,University of Barcelona,Institutd' Investigacions Biomèdiques August Pi iSunyer (IDIBAPS)
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- Brito-zerón, Pilar (författare)
- Institutd' Investigacions Biomèdiques August Pi iSunyer (IDIBAPS),Hospital CIMA
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(creator_code:org_t)
- 2021-02-23
- 2021
- Engelska.
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Ingår i: Drugs & Aging. - : Springer Science and Business Media LLC. - 1170-229X .- 1179-1969. ; 38:4, s. 265-284
- Relaterad länk:
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http://dx.doi.org/10...
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https://pure.rug.nl/...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Primary Sjögren’s syndrome (SjS) is a systemic autoimmune disease most commonly diagnosed in middle-aged women. Although the disease can occur at all ages, it is diagnosed between 30 and 60 years of age in two-thirds of patients. In more than 20% of cases, the people are older than 65 years. In this review, we focus on the therapeutic management of primary SjS in older patients, following the recently published 2020 European League Against Rheumatism (EULAR) recommendations for the management of the disease with topical and systemic therapies. These recommendations are applicable to all patients with primary SjS regardless of age at diagnosis, although the therapeutic management in older patients requires additional considerations. Older patients are more likely to have pulmonary, liver, kidney, or heart-related comorbidities (even cognitive disturbances); caution is required when most drugs are used, including muscarinic agents, systemic corticosteroids and synthetic immunosuppressants. It is also important to monitor the use of eye drops containing steroids due to the increased risk of developing cataracts, a frequent ocular complication in the older population. In contrast, the majority of drugs that can be used topically (pilocarpine rinses, eye drops containing topical non-steroidal anti-inflammatory drugs (NSAIDs) or cyclosporine A, topical dermal formulations of NSAIDs) have shown an acceptable safety profile in older patients, as well as rituximab. A rigorous evaluation of the medical history of older patients is essential when drugs included in the EULAR guidelines are prescribed, with special attention to factors frequently related to ageing, such as polypharmacy, the existence of organ-specific comorbidities, or the enhanced susceptibility to infections.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Retamozo, Soleda ...
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Baldini, Chiara
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Bootsma, Hendrik ...
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De Vita, Salvato ...
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Dörner, Thomas
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Fisher, Benjamin ...
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visa fler...
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Gottenberg, Jacq ...
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Hernández-molina ...
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Kocher, Agnes
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Kostov, Belchin
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Kruize, Aike A.
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Mandl, Thomas
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Ng, Wan-fai
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Seror, Raphaèle
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Shoenfeld, Yehud ...
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Sisó-almirall, A ...
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Tzioufas, Athana ...
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Vissink, Arjan
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Vitali, Claudio
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Bowman, Simon J.
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Mariette, Xavier
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Ramos-casals, Ma ...
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Brito-zerón, Pil ...
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- MEDICIN OCH HÄLSOVETENSKAP
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Drugs & Aging
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