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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8965
|
pubmed:dateCreated |
1995-7-17
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pubmed:abstractText |
Many relapses of systemic lupus erythematosus (SLE) are preceded by a rise in antibodies against double-stranded DNA (anti-dsDNA). We investigated whether these relapses can be prevented by giving prednisone when a rise in anti-dsDNA occurs. 156 patients with SLE were studied. Anti-dsDNA was measured by Farr assay monthly. When a rise in anti-dsDNA was found, patients were randomly assigned either conventional treatment or 30 mg prednisone added to the current daily dose and tapering off to baseline over 18 weeks. A rise in anti-dsDNA was detected in 46 patients (24 assigned conventional treatment and 22 prednisolone). The relapse rate was higher in the conventional group than in the prednisolone group (20 vs 2, p < 0.001). Although rises in anti-dsDNA in the prednisone group were treated with additional prednisone, the cumulative oral doses of prednisone in the two groups did not differ significantly (p = 0.025). 7 major relapses requiring additional cytotoxic immunosuppressive treatment occurred in the conventional group versus 2 in the prednisone group. Treatment with prednisone as soon as a significant rise in anti-dsDNA occurs prevents relapse in most cases, without increasing the cumulative dose of prednisdone given.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Autoantibodies,
http://linkedlifedata.com/resource/pubmed/chemical/Azathioprine,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/DNA,
http://linkedlifedata.com/resource/pubmed/chemical/Prednisone
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
|
pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
24
|
pubmed:volume |
345
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1595-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7783536-Adult,
pubmed-meshheading:7783536-Aged,
pubmed-meshheading:7783536-Autoantibodies,
pubmed-meshheading:7783536-Azathioprine,
pubmed-meshheading:7783536-Cyclophosphamide,
pubmed-meshheading:7783536-DNA,
pubmed-meshheading:7783536-Female,
pubmed-meshheading:7783536-Follow-Up Studies,
pubmed-meshheading:7783536-Humans,
pubmed-meshheading:7783536-Lupus Erythematosus, Systemic,
pubmed-meshheading:7783536-Male,
pubmed-meshheading:7783536-Middle Aged,
pubmed-meshheading:7783536-Prednisone,
pubmed-meshheading:7783536-Prospective Studies,
pubmed-meshheading:7783536-Treatment Outcome
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pubmed:year |
1995
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pubmed:articleTitle |
Prevention of relapses in systemic lupus erythematosus.
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pubmed:affiliation |
Department of Internal Medicine, University Hospital Groningen, Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|