Injeção intra‐articular de hexacetonido de triancinolona em pacientes com artrite reumatoide: avaliação prospectiva da goniometria e parâmetros de inflamação articular

@article{Furtado2017InjeoID,
  title={Injeç{\~a}o intra‐articular de hexacetonido de triancinolona em pacientes com artrite reumatoide: avaliaç{\~a}o prospectiva da goniometria e par{\^a}metros de inflamaç{\~a}o articular},
  author={Rita Nely Vilar Furtado and Fernando Santana Machado and Karine Balestra da Luz and Marla Francisca dos Santos and Monique Sayuri Konai and Roberta Vilela Lopes and Jamil Natour},
  journal={Revista Brasileira De Reumatologia},
  year={2017},
  volume={57},
  pages={115-121}
}
Resumo Objetivos Avaliar variaveis articulares locais apos a injecao intra‐articular (IIA) de hexacetonido de triancinolona (HT) em pacientes com artrite reumatoide (AR). Metodos Avaliaram‐se de modo cego e prospectivo (inicial, 1, 4, 12 e 24 semanas) as articulacoes metacarpofalângica (MCF), punho, cotovelo, ombro, joelho e tornozelo apos a IIA de HT a procura das seguintes medidas de desfecho: escala visual analogica (EVA) de 0 a 10 cm para dor em repouso (EVAr); EVA para dor ao movimento… 
7 Citations
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TLDR
At comparable doses TH appeared to be much more effective than TA for intra-articular use, in both short- and long-term follow-up in children with oligoarticular juvenile idiopathic arthritis.
A subgroup-specific evaluation of the efficacy of intraarticular triamcinolone hexacetonide in juvenile chronic arthritis.
TLDR
Intraarticular TH is an effective therapy for inflammatory joint disease in all subgroups of JCA and the risk of major complications is low, and the median duration of improvement depends on the subgroup of the disease.
Pain relief in the rheumatoid knee after steroid injection. A single-blind comparison of hydrocortisone succinate, and triamcinolone acetonide or hexacetonide.
TLDR
TH is the preferred preparation for injection of the rheumatoid knee and more patients were rendered painfree for a longer time with TH; 18% at 12 weeks, as against 9% with TA (chi 2 test P < 0.005).
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TLDR
Blind IAI proved safe and accurate when performed by a trained professional and significant improvement was seen in the VAS for pain at rest and during movement, Vas for oedema and morning stiffness.
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The use of IACS in JIA substantiated with surveys now demonstrating a high level of usage by pediatric rheumatologists, and THA at a dose of 1–1.5 mg/kg is ideal.
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It is concluded that intra‐articular corticosteroids reduce knee pain for at least 1 week and that intraarticular Corticosteroid injection is a short‐term treatment of a chronic problem.
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TLDR
Intra-articular corticosteroid injection results in clinically and statistically significant reduction in osteoarthritic knee pain 1 week after injection, and could last for 3 to 4 weeks, but is unlikely to continue beyond that.
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TLDR
In conclusion, iaS is a safe procedure with a median duration of remission of 23.1 months, and the remission was longer in the joints of the upper extremity, with concomitant treatment with methotrexate and when the injection was performed under general anaesthesia.
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In the short term, polyarticular IA injection was better than IM corticosteroid, as shown by ACR improvement criteria and number of adverse effects.
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