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左旋咪唑治疗系统性红斑狼疮患者的临床经验(作者译)

[Clinical experience with levamisole treatment of patients with systemic lupus erythematosus (author's transl)].

作者信息

Scherak O, Smolen J, Kolarz G, Kojer M, Menzel J

出版信息

Wien Klin Wochenschr. 1979 Nov 23;91(22):758-62.

PMID:160142
Abstract

Levamisole treatment was started in 8 patients with inactive SLE. Four patients, who have now been followed up for over 12 months, have not shown clinical deterioration. Three of these patients received concomitant maintenance corticosteroid therapy, the dosage of which could be reduced in each case. A decrease in anti-DNA antibodies was observed in all 4 patients. Levamisole had to be withdrawn in the other 4 patients. One patient developed an exacerbation of her LE skin manifestations after two months, whilst in another patient fever and skin rash (probably drug-induced) were observed after one month. The cooperation of the 2 other patients was not satisfactory and the drug had, thus, to be withdrawn. In conclusion, 4 out of 8 patients with SLE showed a beneficial response to levamisole therapy.

摘要

对8例非活动期系统性红斑狼疮(SLE)患者开始使用左旋咪唑治疗。4例患者现已随访超过12个月,未出现临床病情恶化。其中3例患者同时接受维持性皮质类固醇治疗,且每种情况下其剂量均可减少。所有4例患者的抗DNA抗体均有所下降。另外4例患者不得不停用左旋咪唑。1例患者在两个月后出现LE皮肤表现加重,而另1例患者在1个月后出现发热和皮疹(可能为药物所致)。另外2例患者的配合情况不佳,因此不得不停用该药物。总之,8例SLE患者中有4例对左旋咪唑治疗有良好反应。

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