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[Pneumology. Treatment of idiopathic pulmonary fibrosis: hopes and disappointment]. / Pneumologie. Traitement de la fibrose pulmonaire idiopathique: un espoir après une désillusion.
Rochat, T; Leuenberger, P.
Afiliación
  • Rochat T; Service de pneumologie, Hôpitaux universitaires de Genève, 1211 Genève 14. thierry.rochat@hcuge.ch
Rev Med Suisse ; 1(2): 153-4, 156-8, 2005 Jan 12.
Article en Fr | MEDLINE | ID: mdl-15773218
Idiopathic pulmonary fibrosis (IPF) is now recognized as a separate nosological entity. Despite the progresses in understanding the basic mechanisms of the disease, its prognosis remains poor. The classical treatment combines prednisone with a cytotoxic agent. Interferon gamma has the in vitro capacity of inhibiting fibroblasts proliferation. A pilot study showed positive results, but a more recent randomized double blind trial was unable to demonstrate a clear benefit to the patients. On the other hand there are many evidences for an oxydant-antioxydant imbalance in the pathogenesis of IPF. In a human controlled study N-acetylcysteine (NAC) at high doses (1800 mg per day orally) improved the pulmonary function tests when given on top of a combined therapy with prednisone and azathioprine.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrosis Pulmonar Tipo de estudio: Clinical_trials Límite: Humans Idioma: Fr Revista: Rev Med Suisse Asunto de la revista: MEDICINA Año: 2005 Tipo del documento: Article Pais de publicación: Suiza
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrosis Pulmonar Tipo de estudio: Clinical_trials Límite: Humans Idioma: Fr Revista: Rev Med Suisse Asunto de la revista: MEDICINA Año: 2005 Tipo del documento: Article Pais de publicación: Suiza