INTRAVENOUS CYCLOPHOSPHAMIDE PULSES IN THE TREATMENT OF PYODERMA-GANGRENOSUM ASSOCIATED WITH RHEUMATOID-ARTHRITIS - REPORT OF 2 CASES AND REVIEW OF THE LITERATURE

被引:0
作者
ZONANANACACH, A [1 ]
JIMENEZBALDERAS, FJ [1 ]
MARTINEZOSUNA, P [1 ]
MINTZ, G [1 ]
机构
[1] INST MEXICANO SEGURO SOCIAL,CTR MED NACL SIGLO 21,HOSP ESPECIALIDADES,DEPT REUMATOL,MEXICO CITY 06725,DF,MEXICO
关键词
PYODERMA GANGRENOSUM; CYCLOPHOSPHAMIDE; RHEUMATOID ARTHRITIS; PULSE THERAPY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pyoderma gangrenosum is a chronic ulceronecrotic inflammatory cutaneous disorder that can be associated with diseases such as rheumatoid arthritis (RA). No definitive treatment exists for this condition; steroids have been the mainstay of therapy, and the addition of immunosuppressives has been advocated. We describe 2 patients with pyoderma gangrenosum occurring in the setting of RA who, in addition to steroids, received pulse intravenous cyclophosphamide and had a remarkably good and lasting response. This is the first report of such a therapeutic approach. The pertinent literature is discussed. We conclude that pulse cyclophosphamide is another possible therapy for pyoderma gangrenosum.
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页码:1352 / 1356
页数:5
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