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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1980-2-26
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pubmed:abstractText |
Adverse effects to D-penicillamine were studied prospectively over 3 years in 259 patients with rheumatoid arthritis. Ninety-five percent had had gold therapy previously, yet 70% benefited from D-penicillamine therapy. Of the 275 courses given, 160 (58%) were complicated by at least one reaction, including rashes (44%), dysgeusia (20%), gastrointestinal upset (18%), stomatitis (10%), proteinuria (7%), thrombocytopenia (3%), and leukopenia (2%). Their occurrences peaked in the first 6 months of treatment, except for proteinuria and thrombocytopenia, which peaked in the second 6 months. Reactions were commoner at daily doses above 250 mg; mean daily doses for proteinuria, thrombocytopenia, and leukopenia were higher (approximately 600 mg/d) than for the others (approximately 500 mg/d). Of 114 discontinued courses, 73 (27%) were due to adverse reactions. The remaining reactions were controlled by altering dosages and symptomatic treatment. Only obliterative bronchiolitis (two cases) was irreversible; it resulted in the only death in our series, possibly attributable to penicillamine.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0003-4819
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
92
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
24-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7350870-Adolescent,
pubmed-meshheading:7350870-Adult,
pubmed-meshheading:7350870-Aged,
pubmed-meshheading:7350870-Arthritis, Rheumatoid,
pubmed-meshheading:7350870-Drug Administration Schedule,
pubmed-meshheading:7350870-Gastrointestinal Diseases,
pubmed-meshheading:7350870-Hematologic Diseases,
pubmed-meshheading:7350870-Humans,
pubmed-meshheading:7350870-Middle Aged,
pubmed-meshheading:7350870-Penicillamine,
pubmed-meshheading:7350870-Prospective Studies,
pubmed-meshheading:7350870-Proteinuria,
pubmed-meshheading:7350870-Skin Diseases,
pubmed-meshheading:7350870-Stomatitis,
pubmed-meshheading:7350870-Taste
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pubmed:year |
1980
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pubmed:articleTitle |
Adverse effects of D-penicillamine in rheumatoid arthritis.
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pubmed:publicationType |
Journal Article
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