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[维甲酸治疗银屑病关节炎的一项初步研究]

[Retinoid in the treatment of psoriatic arthropathy: a pilot study].

作者信息

Rosenthal M

出版信息

Schweiz Med Wochenschr. 1979 Dec 15;109(48):1912-4.

PMID:538432
Abstract

Four patients with active seronegative psoriatic arthropathy were treated with retinoid (Ro 10-9359) in a daily dose of 30 mg for at least four months. Within the first 4--6 weeks of treatment all patients showed marked improvement of arthritis as measured by the number of swollen joints, the Ritchie joint index, morning stiffness and the pain experienced. One patient stopped taking her concomitant medication of nonsteroidal anti-inflammatory agent, while the others were able to reduce the intake of such drugs substantially. None of the patients were taking steroids. The elevated erythrocyte sedimentation rate observed in all patients studied also fell gradually in the course of treatment. With the exception of dry lips observed in two patients, other adverse effect such as extensive mucosa dryness and cheilitis, as commonly seen in patients receiving this agent, were not recorded. In view of these encouraging preliminary results we are now conducting a multicenter control study to substantiate these findings.

摘要

4例活动性血清阴性银屑病关节炎患者接受维甲酸(Ro 10-9359)治疗,每日剂量30mg,至少治疗4个月。在治疗的前4至6周内,通过肿胀关节数量、里奇关节指数、晨僵和疼痛程度衡量,所有患者的关节炎均有显著改善。1例患者停止服用其同时服用的非甾体抗炎药,其他患者能够大幅减少此类药物的摄入量。所有患者均未服用类固醇。在所有研究患者中观察到的红细胞沉降率升高在治疗过程中也逐渐下降。除2例患者出现嘴唇干燥外,未记录到接受该药物治疗的患者常见的其他不良反应,如广泛的黏膜干燥和唇炎。鉴于这些令人鼓舞的初步结果,我们目前正在进行一项多中心对照研究以证实这些发现。

相似文献

1
[Retinoid in the treatment of psoriatic arthropathy: a pilot study].[维甲酸治疗银屑病关节炎的一项初步研究]
Schweiz Med Wochenschr. 1979 Dec 15;109(48):1912-4.
2
Tigason (etretinate) treatment in psoriatic arthritis.银屑性关节炎的银屑灵(依曲替酯)治疗
Int J Tissue React. 1988;10(1):25-7.
3
Ro 10-9359, an aromatic retinoid in the treatment of psoriatic arthritis. Clinical and immunological studies.Ro 10 - 9359,一种用于治疗银屑病关节炎的芳香维甲酸。临床与免疫学研究。
Arzneimittelforschung. 1982;32(8):842-4.
4
Pilot study of etretinate in psoriatic arthritis.依曲替酯治疗银屑病关节炎的初步研究。
J Rheumatol. 1989 Jun;16(6):789-91.
5
[Combined oral retinoid and PUVA therapy in the treatment of psoriasis and psoriatic arthropathy (author's transl)].联合口服维甲酸与补骨脂素紫外线A光化学疗法治疗银屑病和银屑病关节炎(作者译)
Ann Dermatol Venereol. 1981;108(2):131-7.
6
Comparison of etretinate (Tigason) and parenteral gold in the treatment of psoriatic arthropathy.银屑灵(替加松)与胃肠外金制剂治疗银屑病关节炎的比较。
Clin Rheumatol. 1988 Dec;7(4):498-503.
7
Treatment of psoriatic arthropathy with etretinate: a two-year follow-up.依曲替酯治疗银屑病关节炎:两年随访
Acta Derm Venereol. 1986;66(4):321-4.
8
[Comparison of RePUVA and aromatic retinoid Ro 10-9359 with methotrexate in severe forms of psoriasis].[补骨脂素加长波紫外线(RePUVA)和芳香维甲酸Ro 10-9359与甲氨蝶呤治疗重度银屑病的比较]
Hautarzt. 1983 May;34(5):229-30.
9
[Side effects of oral retinoid Ro 10-9359 on the unaffected skin of psoriatic patients: retinoid dermatitis].
Schweiz Med Wochenschr. 1979 Dec 15;109(48):1921-5.
10
Oral treatment of keratinizing disorders of skin and mucous membranes with etretinate. Comparative study of 113 patients.
Arch Dermatol. 1982 Feb;118(2):97-100.

引用本文的文献

1
Etretinate. A review of its pharmacological properties and therapeutic efficacy in psoriasis and other skin disorders.依曲替酯。对其药理特性及在银屑病和其他皮肤病中的治疗效果的综述。
Drugs. 1983 Jul;26(1):9-43. doi: 10.2165/00003495-198326010-00002.
2
Retinoids. Therapeutic use in dermatology.维甲酸类药物。在皮肤科的治疗应用。
Drugs. 1982 Oct;24(4):341-51. doi: 10.2165/00003495-198224040-00006.
3
A double-blind controlled trial of etretinate (Tigason) and ibuprofen in psoriatic arthritis.依曲替酯(银屑灵)与布洛芬治疗银屑病关节炎的双盲对照试验。
Ann Rheum Dis. 1985 Mar;44(3):189-93. doi: 10.1136/ard.44.3.189.
4
A clinical and biochemical evaluation of etretinate in rheumatoid arthritis.维甲酸治疗类风湿关节炎的临床及生化评估
Rheumatol Int. 1988;8(2):55-9. doi: 10.1007/BF00271835.