Abstract: In 2017， the diagnostic criteria of systemic lupus erythematosus，idiopathic inflammatory myopathies and antineutrophil cytoplasmic antibody associated vasculitis have been renewed. Multiple management guidelines， for example rheumatoid arthritis， Sjogren's syndrome spondyloarthritis and gout etc， have been published and refined. The use of antirheumatic drugs become more and more detailed， and the adverse reaction of glucocorticoid and nonsteroidal antiinflammatory drugs has also aroused great concern. And then， domestic expert consensus have been introduced. The diagnosis and treatment strategy of rheumatic diseases become more and more abundant， and the management methods also become more and more standard.

Key words: rheumatic disease, lupus erythematosus, arthritis, rheumatoid, Sjgren’s syndrome, drug；treatment strategy