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[免疫抑制疗法联合环孢素治疗一例极重型韦格纳肉芽肿的良好疗效]

[A favorable result of immunosuppressive therapy combined with the use of cyclosporine in a case of particularly severe Wegener's granuloma].

作者信息

Krzemień S, Wacławik A, Hołowiecki J, Strzelczyk S

机构信息

Kliniki Hematologii Sl. AM w Katowicach.

出版信息

Pol Tyg Lek. 1994;49(18-19):429-32.

PMID:7708573
Abstract

A case of a 38-year male patient treated for severe Wegener's granuloma has been presented. Immunosuppressive therapy including cyclophosphamide and prednisone produced a 4-week improvement followed by relapsed with advanced organ involvement (severe cardio-respiratory and renal failure). Intensive therapy with cyclosporine A and prednisone (given intravenously and next orally) carried out for 4 months produced a favourable response with complete regression of organ involvement. Actually, the patient is living in a complete remission since 4 years, and takes no drugs since 1 year.

摘要

本文报告了一例38岁男性重症韦格纳肉芽肿患者的治疗情况。包括环磷酰胺和泼尼松在内的免疫抑制治疗使病情改善了4周,但随后病情复发并出现晚期器官受累(严重心肺和肾衰竭)。使用环孢素A和泼尼松进行强化治疗(先静脉给药,随后口服给药)4个月后,病情得到良好缓解,器官受累完全消退。实际上,该患者已完全缓解4年,且已停药1年。

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