Updated Systemic Sclerosis Recommendations from EULAR Use 'Therapeutic Continuums'

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Updated Systemic Sclerosis Recommendations from EULAR Use 'Therapeutic Continuums'
Crest SyndromePulmonary Arterial HypertensionPAH - Pulmonary Arterial Hypertension
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The recommendations highlighted the use of immunosuppressive agents and antifibrotics to treat skin fibrosis and lung fibrosis, as well as changes to upfront treatment of pulmonary hypertension.

VIENNA — The use of immunosuppressive and antifibrotic drugs to treat skin and lung fibrosis leads updated recommendations from the European Alliance of Associations for Rheumatology for the treatment of systemic sclerosis .

A slide showing the different strengths of evidence for various drugs across the eight manifestations illustrated the principle behind the therapeutic continuums."These 'therapeutic continuums' suggest a common pathogenetic mechanism driving the various manifestations of disease," said Del Galdo.

Del Galdo stressed that the complex nature of systemic sclerosis means that"when thinking of treating one manifestation, you also always need to consider all the other clinical manifestations as experienced by the patient, and it is this multifaceted scenario that will ultimately lead to your final choice."

He also pointed out that selexipag and riociguat were new and important second-line additions for the treatment of PAH, and —consistent with the ERA approach — the EULAR recommendation supports frequent follow-up to establish a treat-to-target approach to maximizing clinical outcomes in SSc-PAH and SSc-ILD."Specifically, for the first time, we recommend monitoring the effect of any chosen intervention selected within 3-6 months of starting.

"We definitely are one step forward compared to this 2017 recommendation and closer to what we would like to do," he asserted.In some respects, according to Del Galdo, research and development is making relatively slow progress, especially compared with other rheumatologic diseases such as rheumatoid arthritis."We cannot put patients with systemic sclerosis in remission yet.

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Crest Syndrome Pulmonary Arterial Hypertension PAH - Pulmonary Arterial Hypertension PAH Lung Fibrosis Pulmonary Fibrosis Lung Treatment Guidelines Interstitial Lung Disease Systemic Sclerosis Diffuse Scleroderma Heart Failure Hypertension Biologic Therapy Biologics Idiopathic Pulmonary Fibrosis IPF Idiopathic Pulmonary Fibrosis (IPF) IPF - Pulmonary Fibrosis Remission

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