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干扰素α-1对三名严重依赖糖皮质激素哮喘患者的治疗。对疾病控制和全身糖皮质激素剂量的影响。

Interferon-alphacon-1 treatment of three patients with severe glucocorticoid-dependent asthma. Effect on disease control and systemic glucocorticosteroid dose.

作者信息

Kroegel Claus, Bergmann Nicole, Foerster Martin, Workalemahu Grefachew, Machnik Andreas, Mock Bettina, Reissig Angelika

机构信息

Department of Pneumology and Allergy, Medical Clinic I, Friedrich-Schiller University, Jena, Germany.

出版信息

Respiration. 2006;73(4):566-70. doi: 10.1159/000088660. Epub 2005 Sep 29.

Abstract

We report herein the therapeutic effect of interferon (IFN)-alphacon in three patients with severe persistent asthma and long-term oral glucocorticoid treatment. IFN-alphacon (9 microg) administered subcutaneously thrice a week over a period of more than 24 months led to a substantial clinical improvement with regard to the number of daily asthma attacks, nighttime disturbance, emergency visits and hospitalizations. In addition, lung function and exercise capacity improved. At the same time, treatment with IFN allowed discontinuation of the daily glucocorticoid dose in all patients for the first time in more than 8 years. Our findings suggest that IFN-alphacon leads to a significant clinical improvement while at the same time allowing reduction and discontinuation of the glucocorticoid treatment in severe persistent glucocorticoid-dependent asthma.

摘要

我们在此报告干扰素α-康对三名患有严重持续性哮喘且长期接受口服糖皮质激素治疗的患者的治疗效果。每周三次皮下注射9微克干扰素α-康,持续超过24个月,在每日哮喘发作次数、夜间不适、急诊就诊和住院方面带来了显著的临床改善。此外,肺功能和运动能力也有所提高。同时,使用干扰素治疗使所有患者在超过8年的时间里首次停用了每日的糖皮质激素剂量。我们的研究结果表明,干扰素α-康可带来显著的临床改善,同时能减少并停用严重持续性糖皮质激素依赖型哮喘患者的糖皮质激素治疗。

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