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金疗法在青少年类风湿关节炎治疗中的应用

Gold therapy in the management of juvenile rheumatoid arthritis.

作者信息

Brewer E J, Giannini E H, Barkley E

出版信息

Arthritis Rheum. 1980 Apr;23(4):404-11. doi: 10.1002/art.1780230403.

DOI:10.1002/art.1780230403
PMID:6768367
Abstract

Gold therapy for 6 months was shown to be efficacious in reducing the severity of articular manifestations in 32 (63%) of 51 juvenile rheumatoid arthritis patients reviewed retrospectively. Similarly, reductions in the total number of involved joints were seen in 25 (49%) patients. Patients in whom a favorable response to therapy was noted had more severe joint involvement at the start of therapy than did nonresponders. In general, patients who responded experienced considerable improvement. Duration of disease prior to gold therapy initiation and disease onset type were not related to the probability of favorable response. Incidence of adverse side effects was low. Gold has recently been approved by the Food and Drug Administration for use in children.

摘要

回顾性分析51例青少年类风湿性关节炎患者,结果显示,接受6个月的金制剂治疗后,32例(63%)患者关节症状的严重程度有所减轻。同样,25例(49%)患者受累关节总数减少。与无反应者相比,对治疗有良好反应的患者在治疗开始时关节受累情况更严重。总体而言,有反应的患者病情有显著改善。开始金制剂治疗前的病程和发病类型与良好反应的可能性无关。不良反应发生率较低。金制剂最近已获美国食品药品监督管理局批准用于儿童。

相似文献

1
Gold therapy in the management of juvenile rheumatoid arthritis.金疗法在青少年类风湿关节炎治疗中的应用
Arthritis Rheum. 1980 Apr;23(4):404-11. doi: 10.1002/art.1780230403.
2
Aurothioglucose in rheumatoid arthritis. Outcome of treatment in patients intolerant of sodium aurothiomalate.类风湿关节炎中的金硫葡糖。对硫代苹果酸金钠不耐受患者的治疗结果。
Med J Aust. 1984 Sep 15;141(6):349-51.
3
Treatment of rheumatoid arthritis with gold.用金制剂治疗类风湿关节炎。
Wis Med J. 1978 Aug;77(8):S71-2.
4
[Comparison of the benefits and risks in the treatment of chronic juvenile arthritis with gold salts].[金盐治疗慢性青少年关节炎的获益与风险比较]
Lijec Vjesn. 1991 Nov-Dec;113(11-12):420-2.
5
[Reactions against sodium-auro-thiomalate in the treatment of rheumatoid arthritis].[硫代苹果酸金钠治疗类风湿关节炎的不良反应]
Z Rheumatol. 1979 Sep-Oct;38(9-10):381-4.
6
Gold treatment of pemphigus.
J Am Acad Dermatol. 1985 Aug;13(2 Pt 1):310. doi: 10.1016/s0190-9622(85)80296-6.
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Comparative toxicity of gold preparations in treatment of rheumatoid arthritis.金制剂治疗类风湿关节炎的比较毒性
Ann Rheum Dis. 1976 Apr;35(2):171-3. doi: 10.1136/ard.35.2.171.
8
A comparative study of auranofin, gold sodium thiomalate, and D-penicillamine in rheumatoid arthritis: a progress report.金诺芬、硫代苹果酸金钠和青霉胺治疗类风湿关节炎的比较研究:进展报告。
J Rheumatol Suppl. 1982 Jul-Aug;8:197-200.
9
[Use of colloid gold in the treatment of rheumatoid arthritis].
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[Gold therapy in bronchial asthma with special emphasis upon blood level of gold and its teratogenicity (author's transl)].[支气管哮喘的金疗法,特别强调金的血药浓度及其致畸性(作者译)]
Nihon Naika Gakkai Zasshi. 1974 Oct 10;63(10):1190-7.

引用本文的文献

1
Pediatric Rheumatology Collaborative Study Group - over four decades of pivotal clinical drug research in pediatric rheumatology.儿科风湿病协作研究组——四十多年来在儿科风湿病领域开展的关键临床药物研究。
Pediatr Rheumatol Online J. 2018 Jul 11;16(1):45. doi: 10.1186/s12969-018-0261-x.
2
Outcome measures and medical progress: why outcome measures are needed in childhood arthritis.
Curr Rheumatol Rep. 2003 Dec;5(6):463-70. doi: 10.1007/s11926-003-0058-9.
3
Juvenile rheumatoid arthritis: therapeutic perspectives.青少年类风湿性关节炎:治疗前景
Paediatr Drugs. 2002;4(5):335-48. doi: 10.2165/00128072-200204050-00006.
4
Management of rheumatic diseases in children.儿童风湿性疾病的管理
Indian J Pediatr. 1996 May-Jun;63(3):305-21. doi: 10.1007/BF02751523.
5
Medical management of children with juvenile rheumatoid arthritis.青少年类风湿关节炎患儿的医学管理
Drugs. 1999 Nov;58(5):831-50. doi: 10.2165/00003495-199958050-00006.
6
Methotrexate therapy in systemic-onset juvenile rheumatoid arthritis in Saudi Arabia: a retrospective analysis.沙特阿拉伯全身型幼年类风湿关节炎的甲氨蝶呤治疗:一项回顾性分析
Clin Rheumatol. 1998;17(1):52-7. doi: 10.1007/BF01450959.
7
A risk-benefit assessment of slow-acting antirheumatic drugs in rheumatoid arthritis.类风湿关节炎中慢作用抗风湿药物的风险效益评估
Drug Saf. 1994 Jul;11(1):21-36. doi: 10.2165/00002018-199411010-00004.
8
Auranofin in juvenile rheumatoid arthritis. An open label, non-controlled study.
Clin Rheumatol. 1984 Jun;3(2):223-7. doi: 10.1007/BF02030759.
9
Auranofin. A preliminary review of its pharmacological properties and therapeutic use in rheumatoid arthritis.金诺芬。其药理特性及在类风湿性关节炎治疗中的应用的初步综述。
Drugs. 1984 May;27(5):378-424. doi: 10.2165/00003495-198427050-00002.
10
Clinical pharmacokinetics of drugs used in juvenile arthritis.青少年关节炎用药的临床药代动力学
Clin Pharmacokinet. 1991 Aug;21(2):129-49. doi: 10.2165/00003088-199121020-00004.