Zusammenfassung
In den letzten Jahren gab es zunehmend Hinweise, dass die frühzeitige Behandlung der
entzündlich rheumatischen Erkrankungen von besonderer Bedeutung für den weiteren Verlauf
und die Prognose ist. Da rheumatische Beschwerden sehr häufig sind und der Hausarzt
nicht jeden Patienten zum Rheumatologen überweisen kann, sind in einigen Fällen Screening-Untersuchungen
hilfreich. Im Rahmen der medikamentösen Therapie der entzündlich rheumatischen Erkrankungen
werden zur Zeit vier wesentliche Substanzklassen entweder allein oder in Kombination
eingesetzt: Nichtsteroidale Antiphlogistika, Glukokortikoide, Basistherapeutika (krankheitskontrollierende
Medikamente) sowie die neue Substanzklasse der Biologika.
Summary
In recent years, evidence has been accumulating that early treatment of inflammatory
rheumatic diseases has a particular impact on its further course. Since rheumatic
complaints are very common, and the family doctor cannot refer all his patients to
a rheumatologist, screening examinations may be helpful in some cases. With regard
to medicinal treatment of inflammatory rheumatic diseases, four major classes of drug
are currently employed, either alone or in combination: nonsteroidal anti-inflammatory
drugs, glucocorticoids, basic drugs (Basistherapeutika = disease-modifying anti-rheumatic
drugs), and the new class of biological substances.
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Anschrift des Verfassers
Prof. Dr. med. Jürgen Braun
Rheumazentrum Ruhrgebiet
St. Josefs-Krankenhaus
Landgrafenstraße 15
44652 Herne
