[Etude] Réponse satifaisante au maintient optimal de la Prednisone (cortisone) à faible dose dans la MG
Posté : 13 juin 2019 17:00
Lu sur : https://www.ncbi.nlm.nih.gov/pubmed/30439750
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J Clin Neuromuscul Dis. 2018 Dec;20(2):49-59. doi: 10.1097/CND.0000000000000219.
Satisfactory Response With Achieving Maintenance Low-Dose Prednisone in Generalized Myasthenia Gravis.
Abuzinadah AR1, Jabari D2, Jawdat O2, Pasnoor M2, Glenn M2, Herbelin L2, McVey AL2, Barohn RJ2, Dimachkie MM2.
Abstract
OBJECTIVES:
To estimate the satisfactory response rate (SR%) with achieving maintenance, low-dose prednisone in acetylcholine receptor antibody-positive generalized myasthenia gravis.
METHODS:
In this retrospective study, we estimate the SR% as defined by (remission/minimal manifestations status for at least 6 months using 7.5 mg or less of prednisone daily, for maintenance treatment at 2, 4, and 6 years after symptoms onset) for patients who were not taking steroid-sparing immunosuppressant (SSI) as a primary outcome and for patients taking an SSI as a secondary outcome.
RESULTS:
Forty-five patients were not taking an SSI at 2 years, 34 patients at 4 years, and 17 patients at 6 years; SR% was 44.4%, 64.7%, and 58.8%, respectively. Thirty-six patients were taking an SSI at 2 years, 22 patients at 4 years, and 15 patients at 6 years; the SR% was 50.0%, 45.4%, and 66.7%, respectively.
CONCLUSIONS:
Nearly half of the generalized myasthenia gravis patients who were not taking an SSI achieved an SR.
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