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达那唑治疗系统性红斑狼疮的初步观察:对DNA抗体、血小板减少症和补体的影响

Preliminary observations on danazol therapy of systemic lupus erythematosus: effects on DNA antibodies, thrombocytopenia and complement.

作者信息

Agnello V, Pariser K, Gell J, Gelfand J, Turksoy R N

出版信息

J Rheumatol. 1983 Oct;10(5):682-7.

PMID:6606038
Abstract

Seven patients with systemic lupus erythematosus (SLE) were treated with Danazol in a controlled study. Phenomena observed in some patients treated with Danazol were: 1) decrease in immunoglobulins and antibodies to native DNA; 2) increases in serum complement and platelets; and 3) clinical improvement. Ineffective drug trials were associated with increasing disease activity. Drug side effects were minimal. It appears that the drug may have an ameliorative effect on mildly active SLE patients and sometimes a marked effect on thrombocytopenia. Further evaluation of Danazol appears to be warranted for these types of patients but not for treatment of acute or severe forms of the disease.

摘要

在一项对照研究中,对7例系统性红斑狼疮(SLE)患者使用达那唑进行治疗。在一些接受达那唑治疗的患者中观察到的现象有:1)免疫球蛋白和抗天然DNA抗体减少;2)血清补体和血小板增加;3)临床症状改善。无效的药物试验与疾病活动度增加有关。药物副作用极小。看来该药物可能对轻度活动的SLE患者有改善作用,有时对血小板减少症有显著效果。对于这类患者,似乎有必要对达那唑进行进一步评估,但不适用于治疗该疾病的急性或严重形式。

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