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Rev. Soc. Bras. Clín. Méd ; 17(1): 41-46, jan.-mar. 2019. tab.
Article in Portuguese | LILACS | ID: biblio-1026187

ABSTRACT

A doença de Crohn se caracteriza como uma doença inflamatória, que acomete qualquer porção do trato gastrintestinal, resultante da desrregulação imunológica, gerenciada por fatores endógenos e exógenos. As formas de abordagem terapêutica da doença variam conforme sua apresentação clínica e gravidade, bem como o impacto na qualidade de vida do portador. A terapia biológica vem se tornando uma das principais classes utilizadas no contexto desta enfermidade, mas não está claro quando deve ser iniciada ou em que momento a própria doença deve ser considerada moderada ou grave. Sua forma de apresentação multiforme dificulta a classificação dos pacientes nestes grupos. Neste trabalho, foi realizada revisão de literatura sobre a introdução de terapia biológica como tratamento da doença inflamatória intestinal em curso. (AU)


Crohn's Disease (CD) is an inflammatory disease that can affect any portion of the gastrointestinal tract, caused by immune dysregulation, managed by endogenous and exogenous factors. The forms of therapeutic approach of the disease vary significantly according to its clinical presentation and severity, as well as to the impact on patient's quality of life. Biologic therapy has become one of the main classes used in the context of this disease; however, when it should be initiated or at what time the disease itself should be considered moderate or severe is not clear. Its multiform presentation makes it difficult to classify patients in these groups. In this work, a literature review was carried out about the introduction of the biologic therapy as a treatment of the ongoing inflammatory bowel disease. (AU)


Subject(s)
Humans , Biological Therapy , Crohn Disease/therapy , Autoimmune Diseases/drug therapy , Gastrointestinal Agents/therapeutic use , Crohn Disease/physiopathology , Crohn Disease/history , Crohn Disease/drug therapy , Integrins/antagonists & inhibitors , Interleukins/antagonists & inhibitors , Tumor Necrosis Factor-alpha/antagonists & inhibitors , Drug-Related Side Effects and Adverse Reactions , Antibodies, Monoclonal, Humanized/therapeutic use , Social Determinants of Health , Adalimumab/therapeutic use , Infliximab/therapeutic use , Decision Making, Shared , Disinformation , Anti-Inflammatory Agents/therapeutic use
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