Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2000-3-2
pubmed:abstractText
An open study was conducted to identify and investigate dermatomyositis patients who benefit from IVIG treatment, based on dermatological criteria, myositis-related symptoms and immune/inflammatory parameters. 19 patients (16 females and three males, ages 31-84) suffered from dermatomyositis, and 4/19 patients had paraneoplastic dermatomyositis. We monitored the disease activity by documenting the clinical symptoms, recording muscle-related parameters (electromyography, serum creatine kinase, histopathology), and by determining circulating autoantibodies and serum levels of IL-6, sIL-2R, sTNF-a-R, sICAM-1, and sCD8. 7/19 patients responded to IVIG. They had severe skin but only moderate muscle involvement, no autoantibodies, and no malignancy. IVIG-nonresponders had severe skin and muscle disease, concomitant with autoantibodies and/or malignancy. sIL-2R levels were initially elevated in all patients but reverted to normal in IVIG-responders only. Creatine kinase-levels and other parameters did not correlate with disease activity and/or treatment response. IVIG is effective in selected dermatomyositis patients. sIL-2R serum levels appear to be useful predictors of IVIG-induced treatment response and disease activity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1167-1122
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
29-35
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:10694294-Adult, pubmed-meshheading:10694294-Aged, pubmed-meshheading:10694294-Aged, 80 and over, pubmed-meshheading:10694294-Antigens, CD8, pubmed-meshheading:10694294-Autoantibodies, pubmed-meshheading:10694294-Creatine Kinase, pubmed-meshheading:10694294-Dermatomyositis, pubmed-meshheading:10694294-Electromyography, pubmed-meshheading:10694294-Female, pubmed-meshheading:10694294-Humans, pubmed-meshheading:10694294-Immunoglobulins, Intravenous, pubmed-meshheading:10694294-Intercellular Adhesion Molecule-1, pubmed-meshheading:10694294-Interleukin-6, pubmed-meshheading:10694294-Male, pubmed-meshheading:10694294-Middle Aged, pubmed-meshheading:10694294-Paraneoplastic Syndromes, pubmed-meshheading:10694294-Receptors, Interleukin-2, pubmed-meshheading:10694294-Receptors, Tumor Necrosis Factor
pubmed:articleTitle
High dose intravenous immunoglobulin (IVIG) in dermatomyositis: clinical responses and effect on sIL-2R levels.
pubmed:affiliation
Division of Immunology, Allergy and Infectious Diseases, Department of Dermatology, University of Vienna, Austria. beatrice.volc@akh-wien.ac.at
pubmed:publicationType
Journal Article, Clinical Trial