Current therapy of lupus nephritis. Which is the best option?

Autor: Silva-Fernández L; Servicio de Reumatología, Hospital Universitario Puerta de Hierro, Madrid, Spain. lsilvaf.hpth@salud.madrid.org, Andreu-Sánchez JL, Ginzler EM
Jazyk: angličtina
Zdroj: Revista clinica espanola [Rev Clin Esp] 2008 Mar; Vol. 208 (3), pp. 138-41.
DOI: 10.1157/13115822
Abstrakt: Renal involvement in systemic lupus erythematosus (SLE) is an important cause of morbidity and mortality, reaching a prevalence of 39% during the course of the disease. Currently, the therapy for severe lupus nephritis is based on the use of high-dose corticosteroids and immunosuppressive drugs, being traditionally cyclophosphamide the most frequently used agent. Recent studies have demonstrated the efficacy of mycophenolate mofetil as induction therapy for lupus nephritis. Azathioprine, a safe drug during pregnancy, has not been demonstrated to be as effective as mycophenolate or cyclophosphamide as induction therapy, although it is an effective drug for maintenance of remission.
Databáze: MEDLINE