Department of Rheumatology, Thessaly University School of Medicine, Larissa 41110, Greece.
Clin Rheumatol. 2010 Oct;29(10):1167-8. doi: 10.1007/s10067-010-1498-z. Epub 2010 Jun 10.
This study aimed to assess the effect of mofetil mycophenolate (MMF), an inhibitor of lymphocyte proliferation, on lung function and skin in patients with systemic sclerosis (SSc)-associated interstitial lung disease (SSc-ILD). In this retrospective study, we reviewed the medical files of 10 patients with SSc-ILD (eight females, 10 patients with diffuse SSc; mean age, 59.7 +/- 12.7 years; disease duration, 7.7 +/- 4.7 years). Patients were treated with MMF (2 g/day) for 12 months. Lung function tests and the modified Rodnan total skin score (mRTSS) were assessed at baseline and at 12 months. Results were analyzed by paired Student's t test. There was a significant increase in forced vital capacity and a nonsignificant increase in carbon monoxide diffusing capacity at 12 months in patients on MMF (p = 0.04 and 0.66, respectively). There was no effect on mRTSS. MMF stabilizes lung function of SSc-ILD after 12 months of treatment.
本研究旨在评估淋巴细胞增殖抑制剂霉酚酸酯(MMF)对系统性硬化症(SSc)相关间质性肺病(SSc-ILD)患者肺功能和皮肤的影响。在这项回顾性研究中,我们回顾了 10 例 SSc-ILD 患者(8 名女性,10 例弥漫性 SSc;平均年龄 59.7 +/- 12.7 岁;病程 7.7 +/- 4.7 年)的病历。患者接受 MMF(2 g/天)治疗 12 个月。在基线和 12 个月时评估肺功能检查和改良 Rodnan 总皮肤评分(mRTSS)。结果通过配对学生 t 检验进行分析。接受 MMF 治疗 12 个月后,用力肺活量显著增加,一氧化碳弥散量无显著增加(p = 0.04 和 0.66)。mRTSS 没有影响。MMF 可稳定 SSc-ILD 患者的肺功能 12 个月。