Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Treatment of dermatomyositis and polymyositis Choy EH; Isenberg DARheumatology (Oxford) 2002[Jan]; 41 (1): 7-13Since idiopathic inflammatory myositis is relatively uncommon, randomized placebo controlled trials are rare. Although corticosteroids have not been tested in randomized controlled trials, general clinical consensus among physicians has accepted it as effective therapy. However, corticosteroid toxicity leads to significant disability in many patients. For patients with refractory dermatomyositis, intravenous immunoglobulin is an effective short-term treatment but its long-term effect remains unknown. Immunosuppressants are commonly used in refractory inflammatory myositis; evidence for their efficacy, with very few exceptions, has been derived from case reports and open studies with small numbers of patients. Even in randomized trials, the lack of validated and generally accepted outcome measures makes it difficult to compare the effect of interventions in different studies. Although the balance of evidence suggests that immunosuppressants are equally effective in dermatomyositis and polymyositis, there are no randomized controlled trials to show if any of these drugs, individually or in combination, is best. For uncommon diseases, such as inflammatory myositis, only multicentre randomized controlled trials involving rheumatologists and neurologists will define the optimal therapy.|Adrenal Cortex Hormones/*administration & dosage[MESH]|Antineoplastic Agents/*administration & dosage[MESH]|Combined Modality Therapy[MESH]|Dermatomyositis/diagnosis/*therapy[MESH]|Drug Therapy, Combination[MESH]|Female[MESH]|Humans[MESH]|Immunosuppressive Agents/*administration & dosage[MESH]|Male[MESH]|Plasmapheresis/*methods[MESH]|Polymyositis/diagnosis/*therapy[MESH]|Prognosis[MESH]|Randomized Controlled Trials as Topic[MESH]|Sensitivity and Specificity[MESH]|Treatment Outcome[MESH] |
