[Remission of rheumatoid arthritis--myth or reality?]. / Remissiia revmatoidnogo artrita--mif ili real'nost'?

Proceeding from a long-term observation of 956 patients with RA (rheumatoid arthritis) the authors discuss the problem of its remission. Spontaneous remissions of the disease are possible but in most of the cases remission comes as a result of therapy. Lengthy remission (from one to five years) was attained in 14 per cent of the patients, steady remission (not more than five years) in 8 per cent of the patients. The following types of remission are distinguished: spontaneous remission, genuine remission changing the nature of RA course, therapy-induced remission, sham remission no modifying the nature of the process. Different types of remission have been analysed. Importance of correct evaluation of remission in prognosticating the course of RA and the choice of the most effective treatment plan has been analysed.