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[Preliminary results in the therapy of psoriatic arthritis with mycophenolate mofetil]. / Erste Ergebnisse der Therapie der Psoriasisarthritis mit Mycophenolatmofetil.
Schräder, P; Mooser, G; Peter, R U; Puhl, W.
Afiliación
  • Schräder P; Orthopädische Universitätsklinik Theodor-Kutzer-Ufer 1-3 68167 Mannheim, Germany.
Z Rheumatol ; 61(5): 545-50, 2002 Oct.
Article en De | MEDLINE | ID: mdl-12399882
BACKGROUND: Psoriatic arthritis concerns both the skin and the joints. Therapeutic interventions should therefore ideally improve both symptoms. Current disease modifying drugs are effective; however, they are usually limited to either psoriasis or arthritis. AIM OF THE STUDY: The aim of this study was to analyze the therapeutic effects of a new immunosuppressive drug (Mycophenolate mofetil) in the treatment of psoriatic arthritis. METHODS: Six patients with psoriatic arthritis were treated with Mycophenolate mofetil for a period of 12 weeks and examined every 14 days (range of motion, joint swelling, joint deformity, PASI score (Psoriasis Area and Severity Index). In addition, a life quality assessment (SF-36 Health Survey) was performed. White and red blood count as well as inflammation parameter were controlled regularly. RESULTS: 6 patients could be included in a complete follow-up (5 men, 1 woman, average age 50.3 years, average duration of psoriasis 8.3 years, average duration of arthritis 5.7 years). Four of 6 patients showed relevant improvement in pain, mobility and degree of psoriatic skin effluorescences. Only 3 of 6 showed relevant improvement in life quality. CONCLUSION: For the first time results of treatment of psoriatic arthritis with a new immunosuppressive drug (Mycophenolate mofetil) were presented. A positive influence on both, the arthritis and the psoriasis could be shown. These first observations warrant controlled, randomized clinical trials.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Psoriásica / Inmunosupresores / Ácido Micofenólico Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male / Middle aged Idioma: De Revista: Z Rheumatol Año: 2002 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Psoriásica / Inmunosupresores / Ácido Micofenólico Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male / Middle aged Idioma: De Revista: Z Rheumatol Año: 2002 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania