Comparison of penicillamine and gold treatment in early rheumatoid arthritis.

Abstract:

:In a series of 100 adult patients with definite rheumatoid arthritis of at most 3 years' duration and with no previous penicillamine, gold or systemic corticosteroid treatment, 50 patients were treated with D-penicillamine and 50 with gold for one yar. The dose of penicillamine was 600 mg daily. Sodium aurothiomalate was given 50 mg weekly up to a total of 13 mg/kg and thereafter 50 mg once a month. In both treatment groups a statistically significant decrease in the number of painful and/or swollen joints, an increase in haemoglobin and a decrease in ESR, serum ceruloplasmin-, alpha1-acid glycoprotein-, IgG-, IgM- and IgA levels was observed. All the changes in these clinical and laboratory tests were of the same degree in both treatment groups. In the penicillamine group 12 out of 20 seropositive patients became seronegative and in another 5 the Waaler-Rose titre dropped clearly. In the gold group, 7 out of 16 seropositive patients became seronegative, and the Waaler-Rose titre dropped in another 5. An equal increase in the number of eroded joints in hands and toes was seen in the penicillamine and the gold group. Penicillamine was discontinued because of side effects in 13 patients (26%), and gold treatment in 15 (30%). Proteinuria and/or haematuria were the most common causes of discontinuation in the penicillamine group.

journal_name

Scand J Rheumatol

authors

Mäkisara P,Nissilä M,Kajander A,Martio J,von Essen R,Anttila P,Mäkisara GL

doi

10.3109/03009747809095648

keywords:

subject

Has Abstract

pub_date

1978-01-01 00:00:00

pages

166-70

issue

3

eissn

0300-9742

issn

1502-7732

journal_volume

7

pub_type

临床试验,杂志文章
  • Prevalence of interstitial lung involvement in patients with connective tissue diseases assessed with high-resolution computed tomography.

    abstract:OBJECTIVES:To assess the prevalence of interstitial lung disease (ILD) in patients with different forms of connective tissue disease (CTD) using non-invasive procedures including high-resolution computed tomography (HRCT) and to evaluate the relationship between the imaging and functional status of the patients. METHO...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1080/03009740600844381

    authors: Afeltra A,Zennaro D,Garzia P,Gigante A,Vadacca M,Ruggiero A,Dardes N,Navajas MF,Zobel BB,Amoroso A

    更新日期:2006-09-01 00:00:00

  • Association between the HLA-DRB1 gene and clinical features of systemic sclerosis in Korea.

    abstract:OBJECTIVE:To determine whether HLA-DR alleles are associated with the development and clinical features of systemic sclerosis (SSc) in Koreans. METHODS:Seventy-nine patients (74 women and five men; 45 diffuse types and 34 limited types; mean age at diagnosis 43.9 years) fulfilling the American College of Rheumatology ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740510026751

    authors: Joung CI,Jun JB,Chung WT,Song GG,Choe JY,Chang HK,Yoo DH

    更新日期:2006-01-01 00:00:00

  • Shoulder muscle strength, endurance and electromyographic fatigue in ankylosing spondylitis.

    abstract::Shoulder muscle performance was tested in 8 working ankylosing spondylitis (AS) patients and compared with 10 healthy male referents. The AS patients were all in a non-active state and had no shoulder symptoms. Electromyographic fatigue development in the descending part of the trapezius muscle was significantly faste...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748709165269

    authors: Hagberg M,Hagner IM,Bjelle A

    更新日期:1987-01-01 00:00:00

  • Major salivary gland sonography in Sjögren's syndrome: diagnostic value of a novel ultrasonography score (0-12) for parenchymal inhomogeneity.

    abstract:OBJECTIVE:To validate ultrasonographic criteria for examination of the major salivary glands in the diagnosis of primary Sjögren's syndrome (SS). METHOD:A total of 209 consecutive patients with rheumatic diseases were selected according to the American-European Consensus Group (AECG) classification criteria for SS. On...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009740903270623

    authors: Milic VD,Petrovic RR,Boricic IV,Radunovic GL,Pejnovic NN,Soldatovic I,Damjanov NS

    更新日期:2010-03-01 00:00:00

  • Xerostomia due to Sjögren's syndrome. Diagnostic criteria, treatment and outlines for a continuous dental care programme and an open trial with Sulfarlem.

    abstract::The initial evaluation of 25 patients suspected of suffering from Sjögren's syndrome (SS) disclosed that sialopenia and glandular atrophy without focal sialo-adenitis was the second most common cause, after SS itself, of patient complaints. This emphasizes the importance of conclusive diagnostic criteria to prevent ov...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.3109/03009748809098766

    authors: Malmström MJ,Segerberg-Konttinen M,Tuominen TS,Hietanen JH,Wolf JE,Sane JI,Konttinen YT

    更新日期:1988-01-01 00:00:00

  • The coexistence of systemic lupus erythematosus and multiple sclerosis in a mother and daughter.

    abstract::The occurrence of both multiple sclerosis (MS) and systemic lupus erythematosus (SLE) has previously been described in several members within the same family and in twins of successive generations, but the finding of both diseases in one patient is a great rarity. We here report on a rare coexistence of MS and SLE bot...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740151095484

    authors: Hietaharju A,Peltola J,Seppä J,Luukkainen R,Dastidar P

    更新日期:2001-01-01 00:00:00

  • Relative bone mineral density measured by metacarpal index (MCI) and chronic spinal syndromes: an epidemiological study.

    abstract:OBJECTIVES:The results of previous studies on the association between bone mineral density (BMD) and chronic spinal syndromes have been contradictory. Therefore, we studied relative BMD measured by the metacarpal index (MCI) and its associations with chronic neck and low-back syndromes and diffuse idiopathic skeletal h...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740701406536

    authors: Haara MM,Arokoski JP,Kröger H,Kärkkäinen A,Manninen P,Knekt P,Impivaara O,Heliövaara M

    更新日期:2007-11-01 00:00:00

  • CPH 82 (Reumacon) in refractory inflammatory arthritis.

    abstract::In this retrospective analysis of the DMARD CPH 82 in 44 Icelandic patients with severe refractory arthritis, clinical tolerance was good and serious side effects absent, although the majority were using the drug in combination with other DMARDS. Side effects leading to discontinuation were seen in 16% and the three y...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1080/030097400447723

    authors: Gudmundsdóttir ES,Jónsson H

    更新日期:2000-01-01 00:00:00

  • Antibody profiles of sera giving different nuclear staining patterns.

    abstract::Antibodies to three major antigens of the non-histone or saline-extractable nuclear antigen (ENA) complex were sought by counterimmunoelectrophoresis (CEP) in three groups of sera which gave different patterns in the immunofluorescence test for antinuclear antibodies (ANA). Precipitins, mainly anti RNP and anti SS-B, ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748409111300

    authors: Wangel AG,Teppo AM,Pollard A,Howarth S

    更新日期:1984-01-01 00:00:00

  • Activation of the coagulation system in connective tissue diseases. A study of [125I] fibrinogen clearance.

    abstract::Fifty-one patients with different connective tissue diseases in either active or clinically inactive phase were studied to detect the incidence of chronic or subclinical consumption coagulopathy in these forms. Every patient received intravenously 20 mu Ci of [125I] fibrinogen and the clearance of the labeled fibrinog...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748009112361

    authors: Canesi BA,Banfi F,Rossi AF,Sinigaglia L

    更新日期:1980-01-01 00:00:00

  • Arthroscopic volume of the knee joint in young male adults.

    abstract::'Arthroscopic volume' and resorption of normal saline was measured in 35 young males during routine arthroscopic examination. The average mean volume of the knee joint cavity was 103.4 ml and this volume was observed to correlate with the midpatellar circumference of the knee and the height of the patients. Mean resor...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748609092587

    authors: Visuri T,Kiviluoto O

    更新日期:1986-01-01 00:00:00

  • Small bone lesions resembling erosions can frequently be found in bilateral wrist MRI of healthy individuals.

    abstract:OBJECTIVE:To examine magnetic resonance imaging (MRI) scans for bone lesions typical of rheumatoid arthritis (RA) in the wrist joints of healthy individuals. METHODS:Thirty-one symptomless healthy persons (13/18 men/women), mean age 49 years (range 32-64 years), were included. MRI scans and radiographs of both wrists ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009740903002257

    authors: Palosaari K,Vuotila J,Soini I,Kaarela K,Kautiainen H,Hakala M

    更新日期:2009-11-01 00:00:00

  • A nationwide population-based retrospective cohort study: increased risk of acute coronary syndrome in patients with ankylosing spondylitis.

    abstract:OBJECTIVES:To compare the risk of acute coronary syndrome (ACS) between patients with and without ankylosing spondylitis (AS). METHOD:This retrospective cohort study identified all patients with AS aged ≥ 18 years newly diagnosed from 2000 to 2009, registered in the National Health Insurance Research Database (NHIRD) ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2013.822097

    authors: Chou CH,Lin MC,Peng CL,Wu YC,Sung FC,Kao CH,Liu SH

    更新日期:2014-01-01 00:00:00

  • Changing pattern of clinical features and prognosis in systemic lupus erythematosus.

    abstract::The changing pattern of clinical features of and prognosis for 206 patients with SLE were studied. SLE patients with Raynaud's phenomenon and minimal change and focal proliferative glomerulonephritis observed by means of renal biopsy tended to increase in C (1972--76) group compared with A (1955--68) and B (1969--71) ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009747809095659

    authors: Hashimoto H,Shiokawa Y

    更新日期:1978-01-01 00:00:00

  • Clinical effectiveness and cost-effectiveness of foot orthoses for people with established rheumatoid arthritis: an exploratory clinical trial.

    abstract:OBJECTIVES:Foot orthoses are commonly prescribed as an intervention for people with rheumatoid arthritis (RA). Data relating to the cost-effectiveness of foot orthoses in people with RA are limited. The aim was to evaluate the clinical and cost-effectiveness of two types of foot orthoses in people with established RA. ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/03009742.2016.1196500

    authors: Rome K,Clark H,Gray J,McMeekin P,Plant M,Dixon J

    更新日期:2017-05-01 00:00:00

  • Postural control, muscle function and psychological factors in rheumatoid arthritis. Are there any relations?

    abstract::The aim of the present study was to relate postural control, as measured on a quantitative test battery as standing balance on an AMTI force platform, to results of muscle function of the lower extremities, aerobic capacity, disease characteristics, attitudes revealing anxiety, and demographic variables in patients wi...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009749209099245

    authors: Ekdahl C

    更新日期:1992-01-01 00:00:00

  • Substance P receptor (NK1) gene expression in synovial tissue in rheumatoid arthritis and osteoarthritis.

    abstract::The distribution of messenger RNA coding for substance P receptor (NK1) in rheumatoid synovia and the relationship between signal intensity of NK1 mRNA and clinical parameters of disease activity were investigated. The synovia from 10 patients with rheumatoid arthritis (RA) and 7 patients with osteoarthritis was inves...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/030097498441010

    authors: Sakai K,Matsuno H,Tsuji H,Tohyama M

    更新日期:1998-01-01 00:00:00

  • Longterm physical training in rheumatoid arthritis. A randomized trial with different training programs and blinded observers.

    abstract::The objective was to study the long-term effect (2 years) of different training programs in patients with rheumatoid arthritis. The method was a randomized trial with 75 patients participating. The measured variables included morning stiffness, a pain score, number of swollen joints, a health assessment score, a funct...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/03009749309099253

    authors: Hansen TM,Hansen G,Langgaard AM,Rasmussen JO

    更新日期:1993-01-01 00:00:00

  • HLA-DRB1 genes and disease severity in rheumatoid arthritis in Turkey.

    abstract:OBJECTIVE:Association with human leukocyte antigen (HLA)-DRB alleles, implicated in the aetiopathogenesis of rheumatoid arthritis (RA), is found to be different in various ethnic groups. This study aimed to investigate DRB1 alleles in RA patients in Turkey, and to examine the effect of these alleles on disease severity...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740310003901

    authors: Kinikli G,Ateş A,Turgay M,Akay G,Kinikli S,Tokgöz G

    更新日期:2003-01-01 00:00:00

  • Perinatal outcome in pregnancies of women with connective tissue disease and inflammatory rheumatic disease in Norway.

    abstract::Perinatal outcome in infants of women with rheumatic disease notified between 1967 95 to the Medical Birth Registry of Norway was compared to women without such disease. Logistic regression provided odds ratios for associations between rheumatic disease and perinatal outcome for 3 time periods: 1967-76, 1977-86, and 1...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009749950155337

    authors: Skomsvoll JF,Ostensen M,Irgens LM,Baste V

    更新日期:1999-01-01 00:00:00

  • The value of the diagnostic criteria in rheumatoid arthritis.

    abstract::The ARA and the New York diagnostic criteria for rheumatoid arthritis were studied in 411 patients with a recent inflammatory joint disease (100 with RA, 311 with other disease) in order to evaluate their value in distinguishing progressive rheumatoid arthritis from other joint diseases. Rheumatoid factor, symmetrical...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748309102003

    authors: Kaarela K,Hämeenkorpi R,Isomäki H

    更新日期:1983-01-01 00:00:00

  • Circadian and diurnal variation of circulating immune complexes, complement-mediated solubilization, and the complement split product C3d in rheumatoid arthritis.

    abstract::Nine patients with active classical rheumatoid arthritis (ARA criteria) were studied with reference to circadian variation of immunological and clinical parameters. Complement-mediated solubilization (CMS) of immune complexes (IC) and the level of circulating IC were found to be inversely related with low CMS and incr...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748609102075

    authors: Petersen I,Baatrup G,Brandslund I,Teisner B,Rasmussen GG,Svehag SE

    更新日期:1986-01-01 00:00:00

  • Cyclic nucleotides and catecholamines in rheumatoid arthritis.

    abstract::A controlled cross over study on the effect of fasting on cyclic nucleotide and catecholamine excretion was carried out in 12 female RA patients. They were hospitalized during a control and fasting period. The fasting period started with 3 days of habituation to hospital conditions, followed by 7 days of total fasting...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/03009748309102906

    authors: Trang LE,Lövgren O,Norlund AE,Horn R,Walaas O

    更新日期:1983-01-01 00:00:00

  • Ileocolonoscopic and histologic studies of Korean patients with ankylosing spondylitis.

    abstract::We investigated the frequency of gut inflammation and the role of gut lesion in the pathogenesis of the ankylosing spondylitis (AS) in Korean patients. Ileocolonoscopy and biopsy of the colon and terminal ileum were performed on 24 Korean patients with AS. Endoscopic lesions were observed in 7 patients (29.2%). The le...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/03009749709065722

    authors: Lee YH,Ji JD,Kim JS,Bak YT,Lee CH,Kim CH,Chae YS,Song GG

    更新日期:1997-01-01 00:00:00

  • The distribution of YKL-40 in osteoarthritic and normal human articular cartilage.

    abstract::YKL-40, also called human cartilage glycoprotein-39, is a major secretory protein of human chondrocytes in cell culture. YKL-40 mRNA is expressed by cartilage from patients with rheumatoid arthritis, but is not detectable in normal human cartilage. The aim was to investigate the distribution of YKL-40 in osteoarthriti...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009749950154257

    authors: Volck B,Ostergaard K,Johansen JS,Garbarsch C,Price PA

    更新日期:1999-01-01 00:00:00

  • Decrease of proteinuria in a patient with adult-onset Still's disease and glomerulonephritis after anti-TNFalpha therapy.

    abstract::We report the case of a 41-year-old man diagnosed with Still's disease. Multiple disease-modifying anti-rheumatic drug (DMARD) therapies failed to induce disease remission or to prevent progressive joint destruction. The man presented with active arthritis and classical Still's rash accompanied by fever. Anti-tumour n...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740600844688

    authors: Thonhofer R,Soleiman A,Kriessmayr M,Thonhofer U,Wipfler E,Gaugg M,Eder S,Erlacher L

    更新日期:2006-11-01 00:00:00

  • Combination therapy of cyclosporine A with methotrexate or hydroxychloroquine in refractory rheumatoid arthritis.

    abstract::We evaluated the efficacy and toxicity of cyclosporine A (CsA) in combination with methotrexate (MTX) or hydroxychloroquine (HCQ) in patients with refractory rheumatoid arthritis (RA). Fourteen patients with active RA who had failed to respond adequately to injectable MTX and 14 who had failed to respond to oral HCQ h...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.3109/03009749609082662

    authors: Salaffi F,Carotti M,Cervini C

    更新日期:1996-01-01 00:00:00

  • Differences between rheumatology attending physicians and training residents in the management of rheumatoid arthritis in Spain.

    abstract:OBJECTIVE:To evaluate the variability in the characteristics and management of rheumatoid arthritis (RA) patients between rheumatology attending physicians and training residents in Spain. METHODS:A retrospective medical record (MR) review was performed in a probabilistic sample of 1379 RA patients from 46 centres dis...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.1080/03009740802055992

    authors: Lopez-Gonzalez R,Hernandez-Garcia C,Abasolo L,Morado I,Lajas C,Vadillo C,Pato E,Fernandez-Gutierrez B,Jover JA,Loza E,emAR Study Group.

    更新日期:2008-11-01 00:00:00

  • Lack of corneal chrysiasis in rheumatoid arthritis patients undergoing oral gold therapy.

    abstract::Corneal chrysiasis is a common consequence of parenteral chrysotherapy in patients affected by rheumatoid arthritis. Concerning the factors and conditions that could be determinant for the gold accumulation in the cornea, there are contradictory opinions. Total or weekly gold dose and its accumulation quota, and the f...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748509165501

    authors: Mathieu A,Pala R,Carta S,Orzalesi N,Balestrieri A

    更新日期:1985-01-01 00:00:00

  • Reactions to disability in patients with early versus established rheumatoid arthritis.

    abstract:OBJECTIVES:This study examined differences in reactions to disability between early and established rheumatoid arthritis (RA) patients, and whether these reactions were related to age, physical functioning, acceptance of illness, or self-efficacy. METHODS:Thirty-four patients with early RA (< 2 years since diagnosis) ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740310004685

    authors: Treharne GJ,Lyons AC,Booth DA,Mason SR,Kitas GD

    更新日期:2004-01-01 00:00:00