CURRENT VIEW ON SYSTEMIC GLUCOCORTICOSTEROID THERAPY IN JUVENILE RHEUMATOID ARTHRITIS

Autor: N N Kuzmina, B P Shokh, I L Nikishina
Jazyk: ruština
Rok vydání: 2000
Předmět:
Zdroj: Научно-практическая ревматология, Vol 38, Iss 2, Pp 56-62 (2000)
Druh dokumentu: article
ISSN: 1995-4484
1995-4492
DOI: 10.14412/1995-4484-2000-1234
Popis: Aim: To present modern approaches to the systemic therapy by glucocorticosteroids (GCS) basing on own experience and literature data. Methods and material: Long-term observation of 350 patients with juvenile rheumatoid arthritis (JRA) taking peroral GCS in different dosage. Results: Good therapeutical efficacy and sufficient tolerability of low starting doses (lower than 0.5 mg/ kg a day) of GCS allow to inhibit inflammatory activity in the majority of patients. Alternative method (doses alternation) is recommended in the period of long-term supporting GCS-therapv of JR.4. Conclusion: Basic strategy of treatment of systemic and polyarticular JRA j'orms is rational GCS application in combination with basic drugs which ensures control of pathologic process and modifies the disease.
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