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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1997-12-18
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pubmed:abstractText |
We evaluated cyclosporine A (CsA) treatment in 9 patients (6 female and 3 male), 16-63 years old, with severe myasthenia gravis (MG) for a mean period of 2 years (range 16-36 months). All of the patients had been previously treated either with corticosteroids or by combined immunotherapy, and 5 needed periodic plasma exchanges. The reduction of plasmapheresis cycles in the 5 patients who needed periodic plasma exchange to maintain an acceptable quality of life showed an impressive cost-benefit analysis. During CsA treatment 7 of 9 patients improved their muscle strength and functional score. In all the patients except one the corticosteroid dosage was reduced and in 7 of the 9 patients the dose reduction was over 50% with subsequent reduction of the corticosteroid side effects. The findings showed that initiation of CsA treatment increased muscle strength and reduced corticosteroid dosage. The most common CsA side effects were: a serum creatinine increase that occurred in the first 6-12 months of therapy in 8 patients, other side effects like hypertrichosis and gingival hyperplasia were present in four patients. Blood pressure increase was found in only one patient. CsA treatment may be a valuable and cost effective treatment in severe MG.
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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 |
Sep
|
pubmed:issn |
0340-5354
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
244
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
542-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9352450-Adolescent,
pubmed-meshheading:9352450-Adult,
pubmed-meshheading:9352450-Cost-Benefit Analysis,
pubmed-meshheading:9352450-Cyclosporine,
pubmed-meshheading:9352450-Female,
pubmed-meshheading:9352450-Humans,
pubmed-meshheading:9352450-Immunosuppressive Agents,
pubmed-meshheading:9352450-Male,
pubmed-meshheading:9352450-Middle Aged,
pubmed-meshheading:9352450-Myasthenia Gravis,
pubmed-meshheading:9352450-Time Factors,
pubmed-meshheading:9352450-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
Long-term cyclosporine treatment in a group of severe myasthenia gravis patients.
|
pubmed:affiliation |
Department of Neurological and Psychiatric Sciences, University of Padova, Padua, Italy.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Controlled Clinical Trial,
Research Support, Non-U.S. Gov't
|