Control of a relapse and induction of long-term remission of Wegener's granulomatosis by cyclosporine

被引:11
作者
Ghez, D
Westeel, PF
Henry, I
Pruna, A
Fournier, A
Lassoued, K
机构
[1] Hop Nord Amiens, Serv Immunol, F-80049 Amiens, France
[2] Hop Sud, Serv Nephrol, Amiens, France
关键词
Wegener; cyclosporine; treatment; remission;
D O I
10.1053/ajkd.2002.34551
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
We report a case of severe Wegener's granulomatosis that caused end-stage renal failure and recurrent flares of sinusitis and pulmonary manifestations. To avoid the cumulative toxicity of iterative treatments with cyclophosphamide pulses and glucocorticoids, treatment with cyclosporine as a single agent was instituted in the early phase of the third relapse, before any pulmonary involvement. Cyclosporine enabled rapid control of the disease and induced a complete remission of more than 30 months. (C) 2002 by the National Kidney Foundation, Inc.
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页数:3
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