Low-dose penicillamine treatment of RA. Comparison of 600 mg and 300 mg regimens.

Abstract:

:Results and side effects were compared in 100 patients with rheumatoid arthritis treated with 600 mg penicillamine daily and 100 patients given 300 mg daily. While haemoglobin rose and erythrocyte sedimentation rate dropped in both the 300 mg and the 600 mg cohort, no significant improvement in clinical measure could be demonstrated for the low-dose patients. Medication was discontinued because of side effects in 30 patients on the low dose and 41 patients on the higher dose. Only 8 renal complications were seen among the low-dose patients, vs. 26 in the 600 mg cohort. However, 6 patients on the low dose vs. none on the higher dose dropped out because of inadequate therapeutic effect. Further downward adjustment of currently used daily dose, though desirable because of the relationship between dosage and side effects, seems doomed by unacceptable loss of therapeutic efficacy in most cases.

journal_name

Scand J Rheumatol

authors

Nissilä M,Nuotio P,von Essen R,Mäkisara P

doi

10.3109/03009748209098183

subject

Has Abstract

pub_date

1982-01-01 00:00:00

pages

161-4

issue

3

eissn

0300-9742

issn

1502-7732

journal_volume

11

pub_type

临床试验,杂志文章,随机对照试验
  • Infectious causes of death in patients with rheumatoid arthritis: an autopsy study.

    abstract:OBJECTIVE:To study mortality from infections and accuracy of pre-mortem diagnoses in patients with rheumatoid arthritis (RA) autopsied during a 40-year period. METHODS:We investigated infectious causes of death, findings at autopsy, and clinicians' estimation of cause of death in 369 consecutively autopsied RA and 371...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740600556258

    authors: Koivuniemi R,Leirisalo-Repo M,Suomalainen R,Piirainen H,Paimela L

    更新日期:2006-07-01 00:00:00

  • Skin extensibility and consistency in patients with Ehlers-Danlos syndrome and benign joint hypermobility syndrome.

    abstract:OBJECTIVES:The reproducibility of clinical tests for skin extensibility and consistency, essential for differentiating between types of Ehlers-Danlos syndrome (EDS) and benign joint hypermobility syndrome (BJHS), is unknown. Paraclinical methods may provide objective differential diagnostic methods. METHODS:Six EDS, 1...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740802520714

    authors: Remvig L,Duhn PH,Ullman S,Kobayasi T,Hansen B,Juul-Kristensen B,Jurvelin JS,Arokoski J

    更新日期:2009-05-01 00:00:00

  • In situ characterization of the cellular infiltrate in labial and palatine glands in Sjögren's syndrome.

    abstract::The inflammatory cells in the minor salivary glands in situ in 11 patients with Sjögren's syndrome were characterized by using intracellular markers for T lymphocytes, plasma cells, mononuclear phagocytes and granulocytes. The methods used to demonstrate the markers were optimized histochemical and immunoperoxidase te...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748109095324

    authors: Konttinen YT

    更新日期:1981-01-01 00:00:00

  • Weight-bearing physical activity, calcium intake, systemic glucocorticoids, chronic inflammation, and body constitution as determinants of lumbar and femoral bone mineral in juvenile chronic arthritis.

    abstract::The associations between the lumbar and femoral bone mineral and several body constitutional, lifestyle, and disease related variables were studied in 111 children with juvenile chronic arthritis (JCA) by factor and multiple linear regression analyses. In addition to the measurement of bone mineral density (BMD), bone...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009749950155733

    authors: Kotaniemi A,Savolainen A,Kröger H,Kautiainen H,Isomäki H

    更新日期:1999-01-01 00:00:00

  • Immunoprecipitates used as a reagent for rheumatoid factors.

    abstract::IgM and IgG rheumatoid factors (RFs) were purified by affinity chromatography and gel filtration. The preparations thus obtained were used as standards in a radio-immunoassay for RF detection. In this assay, RFs were reacted with immunoprecipitates, and the RFs were detected with radiolabelled (F(ab')2 fragments speci...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748409100395

    authors: Nordfang O,Høier-Madsen M,Danielsen A

    更新日期:1984-01-01 00:00:00

  • Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis.

    abstract:OBJECTIVES:The aim of this study was to describe fear-avoidance beliefs about physical activity and explore how these beliefs correlate with sociodemographic, disease-specific, and psychosocial factors in adults with rheumatoid arthritis (RA). METHOD:This cross-sectional study is part of the Physical Activity in Rheum...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2014.932432

    authors: Lööf H,Demmelmaier I,Henriksson EW,Lindblad S,Nordgren B,Opava CH,Johansson UB

    更新日期:2015-01-01 00:00:00

  • Cervical myelopathy in psoriatic spondylitis.

    abstract::In psoriatic spondylitis, the complication of cervical cord compression with myelopathy is rare. We present a case of psoriatic spondylitis causing cervical myelopathy which required surgical intervention, and review the literature of reported neurological complications in psoriatic spondylitis. ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009749609104069

    authors: Akagi S,Saito T,Kato I,Ogawa R

    更新日期:1996-01-01 00:00:00

  • Reactivation of inactive systemic lupus erythematosus.

    abstract::To characterize the features of systemic lupus erythematosus (SLE) in patients who flare after a period of inactive disease, we conducted a retrospective chart review. We identified 24 records from SLE patients who had been tapered to 5 mg/day or less of prednisone for at least 3 months. No initial clinical disease ma...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009749609104059

    authors: Aranow C,Emy J,Barland P

    更新日期:1996-01-01 00:00:00

  • Symptomatology and diagnosis in connective tissue disease. II. Evaluations and follow-up examinations in consequence of a speckled antinuclear immunofluorescence pattern.

    abstract::Antibodies to soluble ribonucleoprotein (sRNP) are by definition a prerequisite for the diagnosis mixed connective tissue disease (MCTD). They are also found in 30--40% of other rheumatic conditions with a high titred speckled IFL reaction. The same is true for the most characteristic clinical features of MCTD, viz. R...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009747809095661

    authors: Jonsson J,Norberg R

    更新日期:1978-01-01 00:00:00

  • Increased prevalence of anti-thyroid antibodies in patients with limited scleroderma.

    abstract:OBJECTIVES:Thyroid dysfunction in the setting of systemic sclerosis (SSc) has been described previously. We aimed to determine the prevalence of anti-thyroid antibodies (ATA) in a large SSc cohort and to ascertain whether they are associated with distinct clinical phenotypes. METHODS:A total of 138 patients with SSc [...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2010.549837

    authors: Danielides S,Mavragani CP,Katsakoulas I,Zintzaras E,Drosos AA,Vlachoyiannopoulos PG,Moutsopoulos HM

    更新日期:2011-01-01 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

  • (D)-penicillamine treatment in systemic sclerosis (scleroderma). Effect on nutritional capillary circulation.

    abstract::Four patients with systemic sclerosis (scleroderma) were treated with (D)-penicillamine (1.2-1.8 g/d) for 18-60 months. All patients improved. Vital capillary microscopy demonstrated that the number of visible skin capillaries increased during therapy, thus indicating a more efficient nutritional circulation. ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009747709095427

    authors: Mellstedt H,Fagrell B,Holm G,Björkholm M

    更新日期:1977-01-01 00:00:00

  • Leukocyte protein calprotectin and outcome in rheumatoid arthritis. A longitudinal study.

    abstract:OBJECTIVE:To determine if calprotectin is predictive for outcome in patients with rheumatoid arthritis (RA). METHODS:Fifty six RA in-patients with variable disease duration were prospectively followed for five years. Clinical and laboratory data were collected to assess disease activity. Health Assessment Questionnair...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/030097402320817077

    authors: Madland TM,Hordvik M,Haga HJ,Jonsson R,Brun JG

    更新日期:2002-01-01 00:00:00

  • Familial cryoglobulinemia and C4 deficiency.

    abstract::The coexistence of cryoglobulinemia and C4 deficiency was found in one family. Twelve subjects were examined, most of them being asymptomatic. Cryoglobulins were found in 9 members and its type was defined in 6 of them, 3 having mixed IgM-IgG and 3 having monoclonal IgM cryoglobulins. The concentration of the third co...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748409100379

    authors: Berliner S,Weinberger A,Zamir R,Hazaz B,Pinkhas J

    更新日期:1984-01-01 00:00:00

  • [3H]proline incorporation in vivo in capsular tissues and menisci during the development of osteoarthritis. An experimental study with rabbits.

    abstract::In an effort to clarify factors related to the pathogenesis of experimental osteoarthritis, biochemical alterations were studied in articular soft tissues of adult rabbits through the immobilization of the knee of the hind leg in extension for 3, 7, 11, 18, 35 or 56 days. The medial collateral ligament and medial meni...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748409100374

    authors: Eronen I,Videman T,Kurppa K

    更新日期:1984-01-01 00:00:00

  • Is it possible to offer evidence-based treatment for systemic vasculitis?

    abstract::The evidence base for treatment of systemic vasculitis is reviewed in this article. Accurate diagnosis and evaluation of disease status is crucial to the appropriate management of these cases and disease status should be employed as a means of staging so that appropriate therapy can be offered tailored to the individu...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 社论,评审

    doi:10.1080/030097400750041334

    authors: Luqmani RA

    更新日期:2000-01-01 00:00:00

  • Interleukin-1beta and interleukin-1 receptor antagonist gene polymorphisms in Korean patients with adult-onset Still's disease.

    abstract:OBJECTIVE:Interleukin-1 (IL-1) has been implicated in the pathogenesis of several rheumatic inflammatory diseases, including adult-onset Still's disease (AOSD) and systemic-onset juvenile idiopathic arthritis (SoJIA). Several clinical trials also suggest that anakinra, a human recombinant interleukin-1 receptor antagon...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740701340081

    authors: Youm JY,Woo JH,Kim TH,Bae SC,Yoo DH

    更新日期:2007-09-01 00:00:00

  • The effect of fasting on plasma cyclic adenosine-3', 5'-monophosphate in rheumatoid arthritis.

    abstract::Cyclic adenosine-3', 5'-monophosphate (cAMP) may influence important mechanisms in the inflammatory process, and fasting has been claimed to be clinically beneficial in rheumatoid arthritis (RA). A study was therefore designed to measure the concentrations of plasma cAMP in RA patients not undergoing drug treatment du...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748009112353

    authors: Trang LE,Lövgren O,Bendz R,Mjös O

    更新日期:1980-01-01 00:00:00

  • Pulmonary hypertension in rheumatoid arthritis.

    abstract::Using Doppler echocardiography (DE), we measured pulmonary arterial systolic pressure (PASP) in rheumatoid arthritis (RA) patients without coexisting cardiopulmonary diseases. Accepting the normal upper limit of PASP as 30 mmHg, we found elevated PASP in 11 out of 40 (27.5%) RA patients, values being mostly 30-40 mmHg...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/03009740410005809

    authors: Keser G,Capar I,Aksu K,Inal V,Danaoğlu Z,Savas R,Oksel F,Tunc E,Kabasakal Y,Kitapcioglu G,Doganavsargil E

    更新日期:2004-01-01 00:00:00

  • Influence of auranofin on lymphocyte membrane fluidity in rheumatoid arthritis. A fluorescence polarization study.

    abstract::Using the fluorescence polarization of 1.6-diphenyl-1, 3, 5-hexatriene, the membrane fluidity of lymphocytes obtained from rheumatoid arthritis patients was measured during 12 months of auranofin treatment. Significant differences in fluorescence polarization values were observed following auranofin treatment. The cor...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748909102104

    authors: Beccerica E,Piergiacomi G,Curatola G,Ferretti G

    更新日期:1989-01-01 00:00:00

  • Use of bosentan for digital ulcers related to systemic sclerosis: a real-life retrospective French study of 89 patients treated since specific approval.

    abstract:OBJECTIVES:Ischaemic digital ulcers (DUs) are a common complication of systemic sclerosis (SSc). This study aimed to characterize patients with SSc and ongoing DUs treated with the endothelin receptor antagonist bosentan in clinical practice in France. METHOD:An observational, retrospective, longitudinal study was con...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.3109/03009742.2014.887768

    authors: Agard C,Carpentier PH,Mouthon L,Clerson P,Gressin V,Bérezné A,Diot E,Jego P,Lok C,Sparsa A,Chatelus E,Van Kien AK,Quéré I,Sibilia J,Hachulla E

    更新日期:2014-01-01 00:00:00

  • Interobserver variation in the evaluation of radiologic changes of rheumatoid arthritis.

    abstract::The variation between four radiologists in the evaluation of hand, wrist, and foot radiographs of rheumatoid arthritis was examined. The recognition of individual radiologic changes varied considerably as judged by the findings of the different observers. Erosion and joint space narrowing were interpreted more uniform...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009747909105347

    authors: Larsen A,Edgren J,Harju E,Laasonen L,Reitamo T

    更新日期:1979-01-01 00:00:00

  • Immobilization leads to early changes in hydrostatic pressure of bone and joint. A study on experimental osteoarthritis in rabbits.

    abstract::Immobilization of a rabbit leg in extension results in the early development of an aseptic inflammation, synovial effusion and stiffening, and subsequent osteoarthritis of the knee. To study the pathogenesis of this experimental osteoarthritis, the hydrostatic pressures were measured in the knee, and distal metaphysis...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748809098756

    authors: Kallio PE,Michelsson JE,Björkenheim JM

    更新日期:1988-01-01 00:00:00

  • Correlations between PAF-acether and tumor necrosis factor in rheumatoid arthritis. Influence of parenteral corticosteroids.

    abstract::The aim of this study was to evaluate the presence of PAF-acether (PAF), its specific degrading enzyme acetylhydrolase, and tumor necrosis factor (TNF) concentrations in blood and synovial fluid (SF) from patients with active RA. The variations of the mediators were also evaluated after corticosteroid perfusions in 7 ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009749509099308

    authors: Hilliquin P,Houbaba H,Aissa J,Benveniste J,Menkes CJ

    更新日期:1995-01-01 00:00:00

  • Quality of life in chronic NSAID users: a comparison of the effect of omeprazole and misoprostol.

    abstract:OBJECTIVE:To compare the impact on quality of life (QoL) of omeprazole and misoprostol during healing, and omeprazole, misoprostol, and placebo during maintenance treatment in chronic NSAID users with NSAID-associated gastroduodenal lesions. METHODS:Validated baseline and follow-up QoL questionnaires were completed by...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1080/030097401317148516

    authors: Yeomans N,Wilson I,Långström G,Hawkey C,Naesdal J,Walan A,Wiklund I

    更新日期:2001-01-01 00:00:00

  • The effect of transcutaneous electrical nerve stimulation (TNS) on joint pain in patients with rheumatoid arthritis.

    abstract::The effect of transcutaneous nerve stimulation (TNS) on joint pain was studied in patients with rheumatoid arthritis. Three different forms of TNS were used in an attempt to evaluate the influence of placebo effects. The results were evaluated by means of loading tests and from the patients' own assessments of pain re...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Mannheimer C,Lund S,Carlsson CA

    更新日期:1978-01-01 00:00:00

  • Oxygen consumption during phagocytosis by leukocytes in patients with rheumatic diseases.

    abstract::Oxygen consumption was investigated during phagocytosis by leukocytes in patients suffering from rheumatoid arthritis, juvenile rheumatoid arthritis, dermatomyositis, systemic lupus erythematosus and scleroderma. Compared with the situation in normal persons, the mean oxygen consumption in the total patient group was ...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009747709095439

    authors: Kvarstein B,Blichfeldt P

    更新日期:1977-01-01 00:00:00

  • Acute non-purulent inflammatory arthropathy associated with Staphylococcus aureus abscess.

    abstract::Case 1. A 20-year-old woman presented 4 weeks post-partum with widespread symmetrical inflammatory polyarthropathy with marked synovitis. Investigations revealed grossly raised CRP with negative immunology screen. A few days before presentation she saw her general practitioner with left-sided mastitis, which then deve...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.1080/030097400750001978

    authors: Al-Allaf AW,Pullar T

    更新日期:2000-01-01 00:00:00

  • Auranofin (SK + F 39162) induced enterocolitis in rheumatoid arthritis. A case report.

    abstract::A case of gold-induced enterocolitis in a 69-year-old female with rheumatoid arthritis who had received the new gold compound by oral administration (Auranofin (AF) for 4 weeks) is reported. Mild diarrhoea is a commonly described side effect accompanying AF, but in this case a severe colitis developed. The course of t...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009748309098544

    authors: Jarner D,Nielsen AM

    更新日期:1983-01-01 00:00:00

  • Therapeutic effect of methotrexate encapsulated in cationic liposomes (EndoMTX) in comparison to free methotrexate in an antigen-induced arthritis study in vivo.

    abstract:OBJECTIVES:Cationic lipid complexes bind to angiogenic endothelial cells of solid tumours and microvessels of chronic inflammatory tissue. Methotrexate (MTX) is one of the drugs used in the therapy of rheumatoid arthritis (RA); it is applied systemically but can have serious side-effects. The aim of this study was to i...

    journal_title:Scandinavian journal of rheumatology

    pub_type: 杂志文章

    doi:10.3109/03009742.2015.1030448

    authors: Gottschalk O,Metz P,Dao Trong ML,Altenberger S,Jansson V,Mutschler W,Schmitt-Sody M

    更新日期:2015-01-01 00:00:00