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Abstract

Introduction: Iatrogenesis is one of the most serious threats to patients with rheumatic diseases, with high morbidity and mortality rates. In contrast to its importance, the published articles relating to the medical practice are scarce, especially in rheumatology. Currently, iatrogenesis is defined as any intervention performed by a health team, rightfully or wrongfully, justified or not, that results in damage to the health of the patient. Contents:We described the main types of iatrogenesis in the rheumatology practice and discussed the various events that can be characterized as iatrogenic: glucocorticoid-induced osteonecrosis, drug-induced lupus-like syndromes, cutaneous drug reactions, side effects of drugs used for the remission of rheumatic diseases and others.Discussion: Patients with rheumatic diseases are more likely to present adverse events due to the older age, the chronic nature of the disease and the presence of several comorbidities. The rheumatology professional plays an important role in the prevention and reduction of iatrogenic morbidity and mortality. The proper professional attitude, characterized by loyalty, transparency, integrity and honesty is essential for the maintenance of an adequate doctor-patient relationship.