Long-term therapy with non-steroidal anti-inflammatory drugs for axial spondyloarthritis: focus on changes in liver function

Author:

Rebrov A. P.1ORCID,Aparkina A. V.1,Kchondkaryan E. V.1

Affiliation:

1. Saratov State Medical University named after V. I. Razumovsky

Abstract

The purpose of the study is to analyze the state of liver function in patients with spondyloarthritis taking non-steroidal anti-inflammatory drugs continuously for 24 months. Materials and methods of the study include 198 patients with spondyloarthritis. The prospective study involved 36 patients with spondyloarthritis who took non-steroidal anti-inflammatory drugs (NSAIDs) prescribed by a physician in the community for 24 months. The level of liver enzymes in blood serum at admission and in dynamics was studied. The increase of liver enzymes was detected in 12 (6.06%) of 198 patients with spondyloarthritis. Among them 6 (50%) patients took methotrexate, 1 (8.33%) - genetically engineered drug, 2 (16.67%) patients-sulfasalazine and 3 (25%) - nonsteroidal anti - inflammatory drugs. 19.4% of patients were registered with a periodic increase of transaminase levels on the background of NSAIDs for the last 24 months. At the same time, no cases of acute liver damage or progressive deterioration of liver function requiring discontinuation of therapy were recorded during the entire follow-up period.

Publisher

LLC Global Media Technology

Subject

General Medicine

Reference21 articles.

1. van der Heijden D., Ramiro S., Landewé R. et al. 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis. Ann Rheum Dis. 2017, vol. 76, pp. 978-991.

2. Gaidukova I.Z., Rebrov A. P., Korotaeva T. V., et al. Remission in axial spondyloarthritis: Definition and evaluation tools (recommendations of the Spondyloarthritis Study Group of Experts, All-Russian Public Organization “The Association of Rheumatology of Russia”). Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice, 2018, vol. 56, no.1, pp. 10-14 (In Russ.) doi: 10.14412/1995-4484-2018-10-14@@ Gaidukova I. Z., Rebrov A. P., Korotaeva T. V. i dr. Remissiya pri aksial'nykh spondiloartritakh - opredelenie i instrumenty otsenki (rekomendatsii Ekspertnoi gruppy po izucheniyu spondiloartritov pri Obshcherossiiskoi obshchestvennoi organizatsii «Assotsiatsiya revmatologov Rossii»). Nauchno-prakticheskaya revmatologiya. - 2018 - T. 56. - № 1. - S. 10-14.

3. R. J. Lories, F. P. Luyten, K. de Vlam. Progress in spondyloarthritis. Mechanisms of new bone formation in spondyloarthritis. Arthr research & therapy. 2009, vol. 11, no. 2, pp. 221. doi:10.1186/ar2642.

4. D. Poddubnyy, D. van der Heijde. Therapeutic controversies in spondyloarthritis: nonsteroidal anti-inflammatory drugs. Rheum Dis Clin North Am. 2012, vol. 38, no. 3, pp. 601-611.

5. Donati M., Conforti A., Lenti M. C., et al. Risk of acute and serious liver injury associated to nimesulide and other NSAIDs: data from drug-induced liver injury case-control study in Italy. Br J Clin Pharmacol. 2016, vol. 82, no. 1, pp. 238-248. doi: 10.1111/bcp.12938. Epub 2016 Apr 27.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3