METHOTREXATE FOR SYSTEMIC LUPUS-ERYTHEMATOSUS - A RETROSPECTIVE ANALYSIS OF 17 UNSELECTED CASES

被引:0
|
作者
WILKE, WS [1 ]
KRALL, PL [1 ]
SCHEETZ, RJ [1 ]
BABIAK, T [1 ]
DANAO, T [1 ]
MAZANEC, DJ [1 ]
SEGAL, AM [1 ]
CLOUGH, JD [1 ]
机构
[1] CLEVELAND CLIN FDN,DEPT RHEUMAT & IMMUNOL DIS,CLEVELAND,OH 44195
关键词
METHOTREXATE; SYSTEMIC LUPUS ERYTHEMATOSUS; THERAPY; METHOTREXATE TOXICITY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a retrospective study of 17 patients with systemic lupus erythematosus who were treated with oral methotrexate given as a mean weekly dose of 8.47 +/- 1.72 mg. Methotrexate treatment resulted in symptomatic improvement in 57% of patients and allowed the reduction of the mean daily dose of prednisone from 16.66 mg initially to 8.99 mg at one year follow-up. Twelve of 17 patients (70.6%) experienced at least one episode of toxicity. Factors which might be associated with toxicity are analyzed. Because of its potential as a corticosteroid-sparing agent, controlled studies of methotrexate for the treatment of systemic lupus erythematosus are indicated.
引用
收藏
页码:581 / 587
页数:7
相关论文
共 50 条
  • [41] BRAIN PATHOLOGY IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    HANLY, JG
    WALSH, NMG
    SANGALANG, V
    JOURNAL OF RHEUMATOLOGY, 1992, 19 (05) : 732 - 741
  • [42] CYTOKINES IN THE PATHOPHYSIOLOGY OF SYSTEMIC LUPUS-ERYTHEMATOSUS
    GOLDMAN, M
    AUTOIMMUNITY, 1990, 8 (02) : 173 - 179
  • [43] LIPOPROTEIN(A) LEVELS IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    BORBA, EF
    SANTOS, RD
    BONFA, E
    VINAGRE, CG
    PILEGGI, FJC
    COSSERMELLI, W
    MARANHAO, RC
    JOURNAL OF RHEUMATOLOGY, 1994, 21 (02) : 220 - 223
  • [44] ACTIVITY CRITERIA IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    BOMBARDIERI, S
    VITALI, C
    CAPONI, L
    MANCA, L
    BENCIVELLI, W
    CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, 1994, 12 : S45 - S48
  • [45] OBSTETRIC OUTCOME IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    LIMA, F
    BUCHANAN, NMM
    KHAMASHTA, MA
    KERSLAKE, S
    HUGHES, GRV
    SEMINARS IN ARTHRITIS AND RHEUMATISM, 1995, 25 (03) : 184 - 192
  • [46] POEMS SYNDROME IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    MURPHY, N
    SCHUMACHER, HR
    JOURNAL OF RHEUMATOLOGY, 1992, 19 (05) : 796 - 799
  • [47] SYSTEMIC LUPUS-ERYTHEMATOSUS PRESENTING AS PSEUDOCYESIS
    RODRIGUEZ, IH
    MORENO, MJ
    MORANO, LE
    BENAVENTE, JL
    BRITISH JOURNAL OF RHEUMATOLOGY, 1994, 33 (04): : 400 - 402
  • [48] FUNCTIONAL ASPLENIA IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    PILIERO, P
    FURIE, R
    SEMINARS IN ARTHRITIS AND RHEUMATISM, 1990, 20 (03) : 185 - 189
  • [49] MUSCULAR WEAKNESS IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    OMDAL, R
    MELLGREN, SI
    HENRIKSEN, OA
    HUSBY, G
    JOURNAL OF RHEUMATOLOGY, 1991, 18 (09) : 1364 - 1367
  • [50] AN UNUSUAL PRESENTATION OF SYSTEMIC LUPUS-ERYTHEMATOSUS
    UPPAL, R
    SHEPPARD, MN
    MAGEE, P
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1991, 5 (07) : 386 - 387