Safety of low dose glucocorticoid treatment in rheumatoid arthritis:: published evidence and prospective trial data

被引:393
作者
Da Silva, JAP [1 ]
Jacobs, JWG
Kirwan, JR
Boers, M
Saag, KG
Inês, LBS
de Koning, EJP
Buttgereit, F
Cutolo, M
Capell, H
Rau, R
Bijlsma, JWJ
机构
[1] Univ Hosp, P-3000075 Coimbra, Portugal
[2] Univ Utrecht, Med Ctr, Dept Rheumatol & Clin Immunol, Utrecht, Netherlands
[3] Univ Bristol, Bristol Royal Infirm, Acad Rheumatol Unit, Bristol BS2 8HW, Avon, England
[4] Vrije Univ Amsterdam, Med Ctr, Dept Clin Epidemiol & Biostat, Amsterdam, Netherlands
[5] Univ Alabama Birmingham, Dept Clin Immunol & Rheumatol, Birmingham, AL USA
[6] Leiden Univ, Med Ctr, Dept Nephrol, Leiden, Netherlands
[7] Leiden Univ, Med Ctr, Dept Endocrinol, Leiden, Netherlands
[8] Charite Univ Med Berlin, Berlin, Germany
[9] Univ Genoa, Res Lab, I-16126 Genoa, Italy
[10] Univ Genoa, Dept Internal Med, Div Rheumatol, I-16126 Genoa, Italy
[11] Glasgow Royal Infirm, Ctr Rheumat Dis, Glasgow G4 0SF, Lanark, Scotland
[12] Evangel Fachkrankenhaus, Dept Rheumatol, Ratingen, Germany
关键词
D O I
10.1136/ard.2005.038638
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Adverse effects of glucocorticoids have been abundantly reported. Published reports on low dose glucocorticoid treatment show that few of the commonly held beliefs about their incidence, prevalence, and impact are supported by clear scientific evidence. Safety data from recent randomised controlled clinical trials of low dose glucocorticoid treatment in RA suggest that adverse effects associated with this drug are modest, and often not statistically different from those of placebo.
引用
收藏
页码:285 / 293
页数:9
相关论文
共 166 条
  • [1] CORTICOSTEROID-INDUCED OCULAR HYPERTENSION .1. PREVALENCE IN CLOSED-ANGLE GLAUCOMA
    AKINGBEHIN, AO
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 1982, 66 (08) : 536 - 540
  • [2] DEXAMETHASONE-INDUCED SUPPRESSION OF AORTIC ATHEROSCLEROSIS IN CHOLESTEROL-FED RABBITS - POSSIBLE MECHANISMS
    ASAI, K
    FUNAKI, C
    HAYASHI, T
    YAMADA, K
    NAITO, M
    KUZUYA, M
    YOSHIDA, F
    YOSHIMINE, N
    KUZUYA, F
    [J]. ARTERIOSCLEROSIS AND THROMBOSIS, 1993, 13 (06): : 892 - 899
  • [3] LONG-TERM, AMBULATORY, SUBCUTANEOUS INSULIN INFUSION VERSUS MULTIPLE DAILY INJECTIONS IN BRITTLE DIABETIC-PATIENTS
    BARBOSA, J
    MENTH, L
    EATON, J
    SUTHERLAND, D
    FREIER, EF
    NAJARIAN, J
    [J]. DIABETES CARE, 1981, 4 (02) : 269 - 274
  • [4] Baxter J D, 1990, Adv Intern Med, V35, P173
  • [5] BECKER DM, 1988, AM J MED, V85, P632
  • [6] BIA M J, 1982, Endocrinology, V111, P882
  • [7] BIJLSMA JWJ, 1998, RHEUMATOL EUROPE, V27, P67
  • [8] BLACK DM, 1989, J FAM PRACTICE, V28, P462
  • [9] PREDNISOLONE DISPOSITION AND PROTEIN-BINDING IN ORAL-CONTRACEPTIVE USERS
    BOEKENOOGEN, SJ
    SZEFLER, SJ
    JUSKO, WJ
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1983, 56 (04) : 702 - 709
  • [10] Randomised comparison of combined step-down prednisolone, methotrexate and sulphasalazine with sulphasalazine alone in early rheumatoid arthritis
    Boers, M
    Verhoeven, AC
    Markusse, HM
    vandeLaar, MAFJ
    Westhovens, R
    vanDenderen, JC
    vanZeben, D
    Dijkmans, BAC
    Peeters, AJ
    Jacobs, P
    vandenBrink, HR
    Schouten, HJA
    vanderHeijde, DMFM
    Boonen, A
    vanderLinden, S
    [J]. LANCET, 1997, 350 (9074) : 309 - 318