Source:http://linkedlifedata.com/resource/pubmed/id/20155422
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2011-5-25
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pubmed:abstractText |
The objective of the study to review an experiential cohort of patients receiving IACS and review the associated literature. Review of 121 IACS in 61 patients with JIA. At 3-month intervals, injected joints were evaluated for swelling and range of motion, and the patient and parent were questioned regarding associated pain and morning stiffness. Data were analyzed by log-rank analysis according to injected corticosteroid preparation and its dosage. Adverse events were also recorded. A thorough literature search was done for the literature review. Mean duration of response was 12.5 months (52% of joints in remission at 1 year, 20% after 2 years, and 7% after 3 years). Response was longer with at least 1 mg/kg of corticosteroid, with the longest responses seen with triamcinolone hexacetonide (THA)>triamcinolone acetonide>methylprednisolone. Adverse events were cutaneous atrophy at three injections sites (2.5%), and transient Cushingoid habitus and increased appetite in two patients (3%). Review of the literature generated similar responses to those included herein. Thus, there have been several recommendations for IACS to be a major JIA treatment, and surveys now demonstrate a high level of usage by pediatric rheumatologists. In conclusion the use of IACS in JIA substantiated. THA at a dose of 1-1.5 mg/kg is ideal.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1437-160X
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
749-56
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pubmed:meshHeading |
pubmed-meshheading:20155422-Adolescent,
pubmed-meshheading:20155422-Antirheumatic Agents,
pubmed-meshheading:20155422-Appetite,
pubmed-meshheading:20155422-Arthritis, Juvenile Rheumatoid,
pubmed-meshheading:20155422-Atrophy,
pubmed-meshheading:20155422-Child,
pubmed-meshheading:20155422-Child, Preschool,
pubmed-meshheading:20155422-Cohort Studies,
pubmed-meshheading:20155422-Cushing Syndrome,
pubmed-meshheading:20155422-Female,
pubmed-meshheading:20155422-Glucocorticoids,
pubmed-meshheading:20155422-Humans,
pubmed-meshheading:20155422-Injections, Intra-Articular,
pubmed-meshheading:20155422-Male,
pubmed-meshheading:20155422-Range of Motion, Articular,
pubmed-meshheading:20155422-Remission Induction,
pubmed-meshheading:20155422-Retrospective Studies,
pubmed-meshheading:20155422-Skin
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pubmed:year |
2011
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pubmed:articleTitle |
Intra-articular corticosteroid therapy for juvenile idiopathic arthritis: report of an experiential cohort and literature review.
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pubmed:affiliation |
Clinical Research, Shire Human Genetic Therapies, 700 Main Street, Cambridge, MA 02139, USA. bbloom@fullchannel.net
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pubmed:publicationType |
Journal Article,
Review
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