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10.1097/MD.0000000000004974

http://scihub22266oqcxt.onion/10.1097/MD.0000000000004974
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suck abstract from ncbi


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pmid27759628
      Medicine+(Baltimore) 2016 ; 95 (42 ): e4974
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  • Steroid-sparing effect and toxicity of dapsone treatment in giant cell arteritis: A single-center, retrospective study of 70 patients #MMPMID27759628
  • Ly KH ; Dalmay F ; Gondran G ; Palat S ; Bezanahary H ; Cypierre A ; Fauchais AL ; Liozon E
  • Medicine (Baltimore) 2016[Oct]; 95 (42 ): e4974 PMID27759628 show ga
  • Although a glucocorticoid (GC)-sparing strategy is needed for patients with giant cell arteritis (GCA) suffering from refractory disease or serious treatment-related complications, evidence of efficacy in this setting of immunosuppressive drugs and biotherapies is lacking. Herein, we evaluated the GC-sparing effects and tolerability of addition of dapsone (DDS) to prednisone therapy in patients with GCA. We retrospectively assessed data on 18 GCA patients who received DDS as a first-line treatment (DDS-1 group) and 52 patients who received it as a second- or third-line treatment for refractory GCA, with or without excessive GC-related toxicity (DDS-2 group). Of these 70 patients, 63 belonged to an inception cohort of 478 patients, whereas the remaining 7 were referred to our department for resistant GCA. In all, 52 patients were assessable for DDS efficacy. The baseline characteristics of the DDS-1 patients were similar to those of 395 GCA patients (control group) who received prednisone alone. DDS-1 patients had a more sustained decrease in GC dose with a lower mean prednisone dose at 12 months, and they comprised higher proportions who achieved GC withdrawal within the first year, who stopped prednisone treatment, and who recovered from GCA (P?
  • |*Drug Tolerance [MESH]
  • |*Forecasting [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Anti-Infective Agents/adverse effects/therapeutic use [MESH]
  • |Biopsy [MESH]
  • |Dapsone/adverse effects/*therapeutic use [MESH]
  • |Drug Hypersensitivity/diagnosis/*etiology [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Giant Cell Arteritis/diagnosis/*drug therapy [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Remission Induction [MESH]


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