Summary
Psoriatic arthritis is a spondyloarthritis with negative rheumatoid factor. It
can lead to joint destruction and to a mutilant arthritis. A lower quality of
life with an increased morbidity and mortality may result. In most cases the single
therapy with analgetics is not sufficient. Until now there exist different systemic
disease-modifying therapies like methotrexate, sulfasalazine, glucocorticoids
or cyclosporine A. New TNFα-inhibitors like infliximab and etanercept demonstrated
encouraging results in the therapy of psoriatic arthritis. These agents have proved
highly efficient in treating rheumatoid arthritis and slowing progression of joint
and bone damage by immunomodulation. Other TNFα-inhibitors like Adalimumab (D2E7)
or CDP571 have recently been presented. Here we discuss the present clinical applications
and results in research of the therapy of psoriatic arthritis with TNFα-inhibitors.
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Dr. med. Joachim Dissemond
Universitätsklinikum Essen, Klinik und Poliklinik für Dermatologie, Venerologie
und Allergologie
Hufelandstraße 55
45147 Essen
Phone: 0201/7233894
Fax: 0201/7235935
Email: joachimdissemond@hotmail.com