Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else?
Palindromic rheumatism (PR), a unique clinical entity, has a characteristic clinical presentation with a relapsing/remitting course. It is established that most patients with PR evolve to chronic disease, of which rheumatoid arthritis (RA) is by far the most common. The relationship between PR and R...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositorio: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/235791 |
| Acceso en línea: | http://hdl.handle.net/10261/235791 |
| Access Level: | acceso abierto |
| Palabra clave: | Palindromic rheumatism Rheumatoid arthritis ACPA pre-RA |
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Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else?Sanmartí, RaimonFrade-Sosa, BeatrizMorlà, RosaCastellanos-Moreira, RaulCabrero-Villalba, SoniaRamirez, JulioSalvador, GeorginaHaro Villar, IsabelCañete, Juan D.Palindromic rheumatismRheumatoid arthritisACPApre-RAPalindromic rheumatism (PR), a unique clinical entity, has a characteristic clinical presentation with a relapsing/remitting course. It is established that most patients with PR evolve to chronic disease, of which rheumatoid arthritis (RA) is by far the most common. The relationship between PR and RA is unclear, with similarities and differences between the two, and not all patients evolve to RA in the long-term. Therefore, PR is clearly a pre-RA stage for most, but not all, patients. Autoimmunity plays a substantial role in PR, with the same characteristic autoantibody profile observed in RA, although with some differences in the immune response repertoire. Autoinflammation may also be relevant in some cases of PR. Prognostic factors for RA progression are identified but their exact predictive value is not clear. There are several unmet needs in PR, such as the diagnostic criteria and clinical case definition, the pathogenic mechanisms involved in the unusual clinical course, and the evolution to RA, and our understanding of the therapeutic strategy that could best avoid progression to persistent and potentially destructive arthritis.Peer reviewedFrontiers MediaConsejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202120212021info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/235791reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttps://doi.org/10.3389/fmed.2021.657983Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/2357912026-05-22T06:33:51Z |
| dc.title.none.fl_str_mv |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| title |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| spellingShingle |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? Sanmartí, Raimon Palindromic rheumatism Rheumatoid arthritis ACPA pre-RA |
| title_short |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| title_full |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| title_fullStr |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| title_full_unstemmed |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| title_sort |
Palindromic Rheumatism: Just a Pre-rheumatoid Stage or Something Else? |
| dc.creator.none.fl_str_mv |
Sanmartí, Raimon Frade-Sosa, Beatriz Morlà, Rosa Castellanos-Moreira, Raul Cabrero-Villalba, Sonia Ramirez, Julio Salvador, Georgina Haro Villar, Isabel Cañete, Juan D. |
| author |
Sanmartí, Raimon |
| author_facet |
Sanmartí, Raimon Frade-Sosa, Beatriz Morlà, Rosa Castellanos-Moreira, Raul Cabrero-Villalba, Sonia Ramirez, Julio Salvador, Georgina Haro Villar, Isabel Cañete, Juan D. |
| author_role |
author |
| author2 |
Frade-Sosa, Beatriz Morlà, Rosa Castellanos-Moreira, Raul Cabrero-Villalba, Sonia Ramirez, Julio Salvador, Georgina Haro Villar, Isabel Cañete, Juan D. |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72] |
| dc.subject.none.fl_str_mv |
Palindromic rheumatism Rheumatoid arthritis ACPA pre-RA |
| topic |
Palindromic rheumatism Rheumatoid arthritis ACPA pre-RA |
| description |
Palindromic rheumatism (PR), a unique clinical entity, has a characteristic clinical presentation with a relapsing/remitting course. It is established that most patients with PR evolve to chronic disease, of which rheumatoid arthritis (RA) is by far the most common. The relationship between PR and RA is unclear, with similarities and differences between the two, and not all patients evolve to RA in the long-term. Therefore, PR is clearly a pre-RA stage for most, but not all, patients. Autoimmunity plays a substantial role in PR, with the same characteristic autoantibody profile observed in RA, although with some differences in the immune response repertoire. Autoinflammation may also be relevant in some cases of PR. Prognostic factors for RA progression are identified but their exact predictive value is not clear. There are several unmet needs in PR, such as the diagnostic criteria and clinical case definition, the pathogenic mechanisms involved in the unusual clinical course, and the evolution to RA, and our understanding of the therapeutic strategy that could best avoid progression to persistent and potentially destructive arthritis. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021 2021 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10261/235791 |
| url |
http://hdl.handle.net/10261/235791 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
https://doi.org/10.3389/fmed.2021.657983 Sí |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
| dc.publisher.none.fl_str_mv |
Frontiers Media |
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Frontiers Media |
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reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC instname:Consejo Superior de Investigaciones Científicas (CSIC) |
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Consejo Superior de Investigaciones Científicas (CSIC) |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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