Erschienen in:
01.06.2018 | Crystal Arthritis (L Stamp, Section Editor)
Therapy for CPPD: Options and Evidence
verfasst von:
Mariano Andrés, Francisca Sivera, Eliseo Pascual
Erschienen in:
Current Rheumatology Reports
|
Ausgabe 6/2018
Einloggen, um Zugang zu erhalten
Abstract
Purpose of Review
Current evidence and accumulated experience for the management of calcium pyrophosphate deposition disease (CPPD) are presented.
Recent Findings
Contrary to other rheumatic inflammatory conditions that account for high interest and growing research, advances in treating CPPD are still very limited and mostly derive from those achieved in gout.
Summary
Once formed, calcium pyrophosphate crystals cannot be dissolved; therefore, management relies on the control of crystal-derived inflammation. Besides classical agents—such as colchicine, glucocorticoids, or NSAIDs—the use of targeted therapies, mostly against interleukin-1, has provided a relevant relief for refractory CPPD patients in recent years. Meanwhile, former enthusiasm about conventional disease-modifying agents such as methotrexate is currently controversial.