CYCLOSPORINE IN THE TREATMENT OF CORTICOSTEROID RESISTANT AUTOIMMUNE CHRONIC ACTIVE HEPATITIS

被引:52
作者
JACKSON, LD
SONG, E
机构
[1] UNIV WITWATERSRAND,DEPT MED,DIV GASTROENTEROL,JOHANNESBURG 2001,SOUTH AFRICA
[2] UNIV WITWATERSRAND,DEPT MED,DIV HEPATOL,JOHANNESBURG 2001,SOUTH AFRICA
基金
美国国家科学基金会;
关键词
CYCLOSPORINE; HEPATITIS; CORTICOSTEROID RESISTANCE;
D O I
10.1136/gut.36.3.459
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 17 year old Asian patient with autoimmune chronic active hepatitis resistant to treatment with high dose corticosteroids and azathioprine was given cyclosporin at a dose of 5 mg/kg/day. Within two weeks of starting the cyclosporin treatment a favourable clinical and biochemical response was obtained and by one month serum aminotransferase activities were within normal limits. An attempted reduction in the daily dose of cyclosporin resulted in a relapse of the patient's disease. Remission was again attained by returning the dose of cyclosporin to 5 mg/kg/day. No significant side effects of the treatment have been shown. Cyclosporin seems to have a role in the treatment of corticosteroid resistant autoimmune chronic active hepatitis and its further evaluation is warranted.
引用
收藏
页码:459 / 461
页数:3
相关论文
共 30 条
[1]   LIMITED DURATION OF REMISSION OF INSULIN DEPENDENCY IN CHILDREN WITH RECENT OVERT TYPE-I DIABETES TREATED WITH LOW-DOSE CYCLOSPORINE [J].
BOUGNERES, PF ;
LANDAIS, P ;
BOISSON, C ;
CAREL, JC ;
FRAMENT, N ;
BOITARD, C ;
CHAUSSAIN, JL ;
BACH, JF .
DIABETES, 1990, 39 (10) :1264-1272
[2]   CYCLOSPORIN-A MEDIATES IMMUNOSUPPRESSION OF PRIMARY CYTO-TOXIC T-CELL RESPONSES BY IMPAIRING THE RELEASE OF INTERLEUKIN-1 AND INTERLEUKIN-2 [J].
BUNJES, D ;
HARDT, C ;
ROLLINGHOFF, M ;
WAGNER, H .
EUROPEAN JOURNAL OF IMMUNOLOGY, 1981, 11 (08) :657-661
[3]   AUTOSENSITIZATION OF LYMPHOCYTES AGAINST THYMUS RETICULUM CELLS [J].
COHEN, IR ;
WEKERLE, H .
SCIENCE, 1972, 176 (4041) :1324-&
[4]   CONTROLLED PROSPECTIVE TRIAL OF CORTICOSTEROID THERAPY IN ACTIVE CHRONIC HEPATITIS [J].
COOK, GC ;
MULLIGAN, R ;
SHERLOCK, S .
QUARTERLY JOURNAL OF MEDICINE, 1971, 40 (158) :159-+
[5]  
CZAJA AJ, 1986, SEMIN LIVER DIS, V4, P1
[6]  
DAVIS GL, 1986, CHRONIC ACTIVE HEPAT, P26
[7]   CYCLOSPORINE FOR PLAQUE-TYPE PSORIASIS - RESULTS OF A MULTIDOSE, DOUBLE-BLIND TRIAL [J].
ELLIS, CN ;
FRADIN, MS ;
MESSANA, JM ;
BROWN, MD ;
SIEGEL, MT ;
HARTLEY, AH ;
ROCHER, LL ;
WHEELER, S ;
HAMILTON, TA ;
PARISH, TG ;
ELLISMADU, M ;
DUELL, E ;
ANNESLEY, TM ;
COOPER, KD ;
VOORHEES, JJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (05) :277-284
[8]   RISK-FACTORS FOR CYCLOSPORINE-INDUCED NEPHROPATHY IN PATIENTS WITH AUTOIMMUNE-DISEASES [J].
FEUTREN, G ;
MIHATSCH, MJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (25) :1654-1660
[9]  
HANDSCHUMACHER RE, 1985, PHARMACOL BASIS THER, P1459
[10]   CYCLOSPORINE TREATMENT OF AUTOIMMUNE CHRONIC ACTIVE HEPATITIS [J].
HYAMS, JS ;
BALLOW, M ;
LEICHTNER, AM .
GASTROENTEROLOGY, 1987, 93 (04) :890-893