Low sulpho-conjugated steroid hormone levels in systemic lupus erythematosus (SLE).

Abstract:

:In a clinical study the blood levels of dehydroepiandrosterone sulphate (DHEAS), pregnenolone sulphate (5-PS), testosterone sulphate (TS) and their respective unconjugated steroids were measured in: 20 patients with systemic lupus erythematosus (SLE) who were receiving either no treatment (11 patients) or else treatment with chloroquine (9 patients), in some cases combined with non-steroidal anti-inflammatory drugs (NSAIDs); in 26 patients receiving corticosteroid (Prednisolone) treatment; and in healthy men and women. The patients not on corticosteroid exhibited substantially reduced DHEAS, 5-PS and TS levels (geom. mean: 2300 vs. normal 4300 nmol/l DHEAS; 200 vs. 320 nmol/l 5-PS; and 120 vs. 360 nmol/l TS; p less than 0.001), irrespective of the difference in sex, age or chloroquine treatment. The patients on corticosteroid treatment displayed a similar pattern of levels, but the reduction was much more marked than in the patients not on the steroid (geom. mean: 610 nmol/l DHEAS, 55 nmol/l 5-PS; and 35 nmol/l TS; p less than 0.001). No consistent changes were observed in the unconjugated steroid levels, although they were also reduced by the treatment with prednisolone. The data indicate that a deficiency in sulpho-conjugated steroids is a permanent feature of patients with SLE and that this is accentuated by the administration of corticosteroid derivatives. Further studies are needed to establish the pathophysiological significance of these findings.

journal_name

Clin Exp Rheumatol

authors

Hedman M,Nilsson E,de la Torre B

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

583-8

issue

6

eissn

0392-856X

issn

1593-098X

journal_volume

7

pub_type

杂志文章
  • Pseudopodagra: A presenting manifestation of infective endocarditis.

    abstract::Podagra is a term used to describe acute monoarthritis of the first metatarsophalangeal (1st MTP) joint. The most common diagnoses of arthritis in this joint are: crystal-induced synovitis, septic arthritis, traumatic conditions and reactive arthritis. When etiologies other than gout are involved this is frequently re...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Boulman N,Slobodin G,Sharif D,Rozenbaum M,Rosner I

    更新日期:2005-03-01 00:00:00

  • Acquired hemophilia: a rare complication of Sjögren's syndrome.

    abstract::Acquired hemophilia is associated with diverse conditions such as post-partum period, autoimmune diseases, cancers, and lymphoproliferative diseases. We report a case of acquired hemophilia occurring in Sjögren's syndrome which was treated with corticoid therapy. A review of the different treatments of acquired hemoph...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Vignes S,Le Moing V,Meekel P,Papo T,Wechsler B,Godeau P

    更新日期:1996-09-01 00:00:00

  • Performance of 18F-sodium fluoride positron emission tomography with computed tomography to assess inflammatory and structural sacroiliitis on magnetic resonance imaging in axial spondyloarthritis.

    abstract:OBJECTIVES:To assess increased sacroiliac joint (SIJ) uptake on 18F-NaF PET/CT according to a qualitative and quantitative approach and to compare with MRI SIJ assessments for structural and inflammatory sacroiliitis in a population of 23 patients with spondyloarthritis (SpA) (IDRCB: 2012-A00568-35; ClinicalTrials.gov:...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Ouichka R,Bouderraoui F,Raynal M,Melchior J,Morel O,Blum A,Chary-Valckenaere I,Ngueyon Sime W,Roch V,Maksymowych W,Lambert RG,Olivier P,Loeuille D

    更新日期:2019-01-01 00:00:00

  • Cost-effectiveness of infliximab in the treatment of rheumatoid arthritis in clinical practice.

    abstract:OBJECTIVE:We evaluated the cost-effectiveness of infliximab therapy in Finnish RA patients in a real-life clinical setting and identified factors influencing it, using the national register of biological treatment (ROB-FIN). METHODS:A cost-utility analysis was performed, derived from EQ-5D, and related to HAQ score an...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Virkki LM,Konttinen YT,Peltomaa R,Suontama K,Saario R,Immonen K,Jäntti J,Tuomiranta T,Nykänen P,Hämeenkorpi R,Heikkilä S,Isomäki P,Nordström D

    更新日期:2008-11-01 00:00:00

  • TNF-α inhibitors reduce inflammation-induced concentric remodelling, but not diastolic dysfunction in collagen-induced arthritis.

    abstract:OBJECTIVES:To determine biologic disease-modifying anti-rheumatic drug effects on inflammation-induced cardiac geometry and function changes. METHODS:Male and female Sprague-Dawley rats (n=92) were divided into four groups: control group, collagen-induced arthritis (CIA) group, anti-TNF-α group and anti-IL-6 group. In...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Le Roux R,Mokotedi L,Fourie S,Manilall A,Gunter S,Millen AME

    更新日期:2021-01-11 00:00:00

  • Long-term follow-up of technetium articular index in rheumatoid arthritis patients during oral chrysotherapy: evidence of paradoxical behaviour.

    abstract::The Technetium Articular Index (TcAI) is regarded as a parameter of local inflammation in rheumatoid arthritis (RA). We studied TcAI behaviour during 1-year chrysotherapy in a group of fifteen RA patients. In non-responders TcAI showed a gradual decrease up to the 6th month and a return to baseline values within the s...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Mathieu A,Pala R,Satta L,Piga M

    更新日期:1988-01-01 00:00:00

  • Etanercept in spondyloarthropathies. Part I: current evidence of efficacy.

    abstract::Etanercept is a recombinant soluble tumour necrosis factor alpha receptor administered subcutaneously at the dose of 50 mg weekly (or 25 mg/twice weekly) for the treatment of the main chronic arthritides: rheumatoid arthritis and spondyloarthropathies. It shows high qualities in terms of efficacy and manageability. Fa...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Palazzi C,D'Angelo S,Cantini F,Lubrano E,Marchesoni A,Mathieu A,Salvarani C,Scarpa R,Spadaro A,Olivieri I

    更新日期:2011-09-01 00:00:00

  • Glucocorticoids in rheumatology: indications and routes of administration.

    abstract::This paper in short reviews general indications, doses and routes of administration of glucocorticoid therapy in rheumatology. It presents greater detail concerning intralesional and intra-articular glucocorticoid injections. ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Jacobs JW,Bijlsma JW

    更新日期:2011-09-01 00:00:00

  • Association of small ubiquitin-like modifier 4 (SUMO4) polymorphisms in a Tunisian population with Behçet's disease.

    abstract:OBJECTIVES:An association of SUMO4 gene, which has recently been shown to be a negative feedback regulator for nuclear factor NF-κB, has been reported in several autoimmune/inflammatory diseases. A case-control study was set up to investigate the contribution of SUMO4 locus to the genetic susceptibility to Behçet's dis...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Kamoun M,Ben Dhifallah I,Karray E,Zakraoui L,Hamzaoui K

    更新日期:2010-07-01 00:00:00

  • Estrogen receptor levels in a murine model of systemic lupus erythematosus.

    abstract::Offspring of a cross between the NZB and NZW mice (F1) develop a disease similar to SLE in humans. Female mice of the F1 strain develop the disease at a younger age and die earlier than the males. In order to test the hypothesis that estrogen receptor concentrations in the lymphoid organs of these mice may correlate w...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Athreya BH,Moore WC,Wadsworth SA,Gupta C,Goldman AS

    更新日期:1989-11-01 00:00:00

  • No effect of acetylcystein on refractory rheumatoid arthritis.

    abstract::Acetylcystein has some chemical similarities with Penicillamine and other thiol containing compounds with effect on rheumatoid arthritis. We report an open trial on seven patients with refractory rheumatoid arthritis in which no beneficial effect could be seen after up to twelve months treatment in doses 600-1200 mg a...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Jonsson H,Wollheim FA,Svensson B

    更新日期:1986-10-01 00:00:00

  • Advanced glycation end products affect growth and function of osteoblasts.

    abstract:OBJECTIVES:Advanced glycation end products (AGEs) have been implicated in the pathogenesis of bone-destructive disorders. Yet reports on the influence of AGEs on human osteoblasts remain lacking. The aim of the study is to investigate the influence of AGE-modified bovine serum albumin (AGE-BSA) on cell growth and expre...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Franke S,Rüster C,Pester J,Hofmann G,Oelzner P,Wolf G

    更新日期:2011-07-01 00:00:00

  • Correlation between insulin resistance and serum ghrelin in non-diabetic ankylosing spondylitis patients undergoing anti-TNF-α therapy.

    abstract:OBJECTIVES:To evaluate whether anti-TNF-α therapy (infliximab) administration alters circulating levels of ghrelin, an anti-inflammatory gastric peptide. We also assessed possible associations of circulating ghrelin concentrations with CRP and ESR levels, metabolic syndrome, demographic characteristics and other adipok...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Genre F,López-Mejías R,Miranda-Filloy JA,Carnero-López B,Gómez-Acebo I,Blanco R,Ochoa R,Rueda J,González-Juanatey C,Llorca J,González-Gay MÁ

    更新日期:2013-11-01 00:00:00

  • Some patients with primary antiphospholipid syndrome have increased circulating CD5+ B cells that correlate with levels of IgM antiphospholipid antibodies.

    abstract::Antibodies against bromelain-treated erythrocytes occurring in normal mice are germline gene-encoded IgM natural autoantibodies that are secreted by CD5+ B cells, and react primarily with phosphatidylcholine (PTC), but may crossreact with cardiolipin (aCL). Some of the IgM antiphospholipid antibodies (aPL) present in ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Velasquillo MC,Alcocer-Varela J,Alarcón-Segovia D,Cabiedes J,Sánchez-Guerrero J

    更新日期:1991-09-01 00:00:00

  • A novel mutation in the CIAS1/NLRP3 gene associated with an unexpected phenotype of cryopyrin-associated periodic syndromes.

    abstract:OBJECTIVES:Cryopyrin-associated periodic syndromes (CAPS) comprise a spectrum of distinct, rare, autosomal dominant autoinflammatory disorders of increasing severity caused by NLRP3 gene mutations. METHODS:We describe a 13-year-old female who presented, in the initial phase of the disease, recurrent episodes of high f...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Insalaco A,Prencipe G,Buonuomo PS,Ceccherini I,Bracaglia C,Pardeo M,Nicolai R,De Benedetti F

    更新日期:2014-01-01 00:00:00

  • Automated joint space width quantification of hand and wrist joints: a proof of concept study.

    abstract:OBJECTIVES:To compare as proof of concept the sensitivity to change of automated quantification of radiographic wrist and hand joint space width (JSW) with scoring JSW according to the Sharp/van der Heijde scoring method (SHS) in two strategy groups of a treat-to-target and tight-control early rheumatoid arthritis (RA)...

    journal_title:Clinical and experimental rheumatology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Huo Y,Veldhuizen RD,van der Heijde DM,Besselink NJ,Jacobs JW,van Laar JM,Viergever MA,Vincken KL,Lafeber FP,de Hair MJ,Society for Rheumatology Research Utrecht investigators.

    更新日期:2016-09-01 00:00:00

  • History of hypertrophic osteoarthropathy (HOA).

    abstract::Hypertrophic osteoarthropathy (HOA) was first described in 1868 as "hyperostosis of the entire skeleton". It has also been mistaken for acromegaly. In 1887-1888 the first description was given of a dermatological disorder "cutis verticis girata" which coexisted with the peculiar bone anomalies of HOA. In 1890 HOA was ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 历史文章,杂志文章

    doi:

    authors: Carcassi U

    更新日期:1992-05-01 00:00:00

  • The Korean version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ).

    abstract::We report herein the results of the cross-cultural adaptation and validation into the Korean language of the parent's version of two health related quality of life instruments. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific health instrument that measures functional ability in daily living ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Bae SC,Ruperto N,Lee JH,Uhm WS,Park YW,Kim SY,Paediatric Rheumatology International Trials Organisation.

    更新日期:2001-07-01 00:00:00

  • Disease-modifying effects of long-term cyclic iloprost therapy in systemic sclerosis. A retrospective analysis and comparison with a control group.

    abstract:OBJECTIVE:To evaluate the role of iloprost, a derivative of prostacyclin, as a possible disease-modifying agent for systemic sclerosis (SSc). METHODS:Fifty-six consecutive SSc patients treated for a median period of 4 years with cyclic infusions of iloprost for severe Raynaud's phenomenon and ischemic ulcers were comp...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Airò P,Rossi M,Scarsi M,Danieli E,Grottolo A,Zambruni A

    更新日期:2007-09-01 00:00:00

  • Is there a role for Chlamydia pneumoniae infection in systemic lupus erythematosus and in the associated atherosclerotic cardiovascular disease?

    abstract:OBJECTIVE:To search for molecular evidence of Chlamydial infection in systemic lupus erythematosus (SLE) subjects and to assess if there is an association of this infectious agent with coronary artery calcification (CAC), a marker of total atherosclerotic burden. METHODS:28 SLE subjects had blood samples drawn and DNA...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Kitumnuaypong T,Scalzi LV,Nalbant S,Von Feldt JM,Schumacher HR Jr

    更新日期:2004-05-01 00:00:00

  • Neuromuscular efficiency in fibromyalgia is improved by hyperbaric oxygen therapy: looking inside muscles by means of surface electromyography.

    abstract:OBJECTIVES:Neuromuscular efficiency (NME) is impaired in fibromyalgia (FM). Hyperbaric oxygen therapy (HBOT) is a medical treatment using 100% of oxygen through an oxygen mask. HBOT in FM induces changes in cortical excitability and a secondary reduction in pain and muscle fatigue. However, there are still no direct da...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Casale R,Boccia G,Symeonidou Z,Atzeni F,Batticciotto A,Salaffi F,Sarzi-Puttini P,Brustio PR,Rainoldi A

    更新日期:2019-01-01 00:00:00

  • Clinical inconsistency, benign course and normal employment rates in unselected systemic lupus erythematosus.

    abstract::Of 65 unselected SLE patients from a defined population, 61 were sequentially followed for two years with an SLE supervision programme. The cumulative clinical manifestations included a relatively high frequency of pulmonary vascular disease and gastrointestinal involvement. Flares were more common during the summer s...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Sturfelt G,Nived O

    更新日期:1985-10-01 00:00:00

  • Immunologic studies in patients with Takayasu's arteritis. II. Effects of serum on lymphocyte functions in vitro.

    abstract::Natural lymphocytotoxic antibodies, circulating immune complexes and their effect on in vitro blast transformation of normal cells were studied in 24 patients with Takayasu's arteritis. Sera with Takayasu's arteritis lacked lymphocytotoxic antibodies, had an inhibitory effect on the formation of EA and EAC rosettes an...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Díaz-Jouanen E,Reyes PA,Frajman M,Llorente L,Sánchez-Torres G

    更新日期:1984-01-01 00:00:00

  • Anti-GOR antibodies, HCV, liver disease and cryoglobulinemia.

    abstract:OBJECTIVE:We investigated the presence of anti-GOR antibodies in patients with essential mixed cryoglobulinemia, since both autoimmune pathogenetic processes and a high prevalence of HCV infection are present in this syndrome. METHODS:We compared these cases to patients with HCV-related chronic active hepatitis or alc...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Saccardo F,Monti G,Rinaldi G,Pioltelli P,Mosconi L,Garelli G

    更新日期:1995-11-01 00:00:00

  • The role of salivary gland histopathology in primary Sjögren's syndrome: promises and pitfalls.

    abstract::The formation of lymphomononuclear cell infiltrates organising as periductal infiltrates in the salivary glands of patients with primary Sjögren's syndrome (pSS) is one of the hallmarks of the disease. Historically, the clinical role of salivary gland histopathology, most commonly performed on labial salivary gland bi...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Kroese FGM,Haacke EA,Bombardieri M

    更新日期:2018-05-01 00:00:00

  • Reduction of oxidative stress marker levels by anti-TNF-alpha antibody, infliximab, in patients with rheumatoid arthritis.

    abstract:OBJECTIVE:The aim of this study was to evaluate the effects of anti-TNF-alpha antibody, infliximab, on oxidative stress markers representing DNA damage, lipid peroxidation, and glycoxidation. METHODS:Twenty-three RA patients underwent infliximab treatment and were analyzed for 30 weeks. Six patients who experienced si...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Kageyama Y,Takahashi M,Ichikawa T,Torikai E,Nagano A

    更新日期:2008-01-01 00:00:00

  • Critical role of STIR MRI in early detection of post-streptococcal periostitis with dysproteinaemia (Goldbloom's syndrome).

    abstract:OBJECTIVES:In 1966, Goldbloom et al. described two children who developed a peculiar clinical picture characterized by intermittent daily bone pain in the lower limbs, fever spikes, increased acute phase reactants and dysproteinaemia. The syndrome occurred two weeks after a group A β-haemolytic streptococcus infection....

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Papa R,Consolaro A,Minoia F,Caorsi R,Magnano G,Gattorno M,Ravelli A,Picco P

    更新日期:2017-05-01 00:00:00

  • Rescue treatment with tocilizumab for Takayasu arteritis resistant to TNF-α blockers.

    abstract::Anti-TNF-α therapy has successfully been used to treat Takayasu arteritis (TA) refractory to conventional immunosuppressive treatment. However, some patients fail to respond even to TNF-α blockers. Interleukin-6 (IL-6) is a key player in the pathogenesis of TA. Preliminary data also suggest efficacy of the IL-6 recept...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Salvarani C,Magnani L,Catanoso MG,Pipitone N,Versari A,Dardani L,Pulsatelli L,Meliconi R,Boiardi L

    更新日期:2012-01-01 00:00:00

  • Idiotypes as markers for immunoglobulin genes contributing to the production of rheumatoid factors: theoretical and practical implications.

    abstract::Monoclonal antibodies have been produced that recognise conventionally defined cross-reactive idiotopes (CRI) expressed on rheumatoid factors. However, it is now evident that these "CRI" are markers for variable region sequences encoded by germline V gene segments and, therefore, that most of these reagents recognise ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Jefferis R

    更新日期:1994-11-01 00:00:00

  • A Delphi exercise and cluster analysis to aid in the development of potential classification criteria for systemic sclerosis using SSc experts and databases.

    abstract:OBJECTIVES:Since the 1980 ACR classification criteria for systemic sclerosis (SSc) do not identify 20% with SSc, revised criteria are necessary. METHODS:Suggested new criteria from the literature were sent in random order to 96 SSc experts. A 3-round Delphi Consensus eliminated criteria. Then cluster analysis reduced ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Coulter C,Baron M,Pope JE

    更新日期:2013-03-01 00:00:00