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Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis.

Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Research Abstract Details 

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  • Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Abstract Text:

    eizo saitoEizo Saito,takao koikeTakao Koike,hiroshi hashimotoHiroshi Hashimoto,nobuyuki miyasakaNobuyuki Miyasaka,yasuo ikedaYasuo Ikeda,masako haraMasako Hara,hidehiro yamadaHidehiro Yamada,tadashi yoshidaTadashi Yoshida,masayoshi harigaiMasayoshi Harigai,yoichi ichikawaYoichi Ichikawa, ,eizo saitoEizo Saito,takao koikeTakao Koike,hiroshi hashimotoHiroshi Hashimoto,nobuyuki miyasakaNobuyuki Miyasaka,yasuo ikedaYasuo Ikeda,masako haraMasako Hara,hidehiro yamadaHidehiro Yamada,tadashi yoshidaTadashi Yoshida,masayoshi harigaiMasayoshi Harigai,yoichi ichikawaYoichi Ichikawa,

    Intravenous immunoglobulin (IVIG) therapy was administered to 15 patients who were refractory to traditional steroid therapy [eight with polymyosis (PM), seven with dermamyosis (DM)] to evaluate its efficacy. Serum creatine kinase (CK) significantly decreased from week 1, and manual muscle test scores (MMT) and activities of daily living (ADL) significantly increased from week 2. Efficacy rates were 93.3% (14/15 patients) as assessed using the MMT score, 80.0% (12/15 patients) using the ADL score, and 100% (15/15 patients) using the serum CK level. When changes in the serum CK level over two four-week periods, one before IVIG therapy (from week -4 to week 0) and one after IVIG therapy (from week 0 to week 4), were transformed to natural logarithms, the four-week change after IVIG therapy was significantly greater than that before IVIG therapy. The estimated duration of the serum CK level remaining normal in 50% of the patients after IVIG therapy was 334.5 days. Adverse reactions were observed in seven of 16 patients (43.8%) during the study period, but none of the adverse reactions were considered to be serious or required emergency treatment. In conclusion, the present study indicates that IVIG therapy is effective for steroid-resistant PM/DM.

    Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Publishing Authors By Initials

    e saitoE Saito,t koikeT Koike,h hashimotoH Hashimoto,n miyasakaN Miyasaka,y ikedaY Ikeda,m haraM Hara,h yamadaH Yamada,t yoshidaT Yoshida,m harigaiM Harigai,y ichikawaY Ichikawa, ,e saitoE Saito,t koikeT Koike,h hashimotoH Hashimoto,n miyasakaN Miyasaka,y ikedaY Ikeda,m haraM Hara,h yamadaH Yamada,t yoshidaT Yoshida,m harigaiM Harigai,y ichikawaY Ichikawa,

    For similar abstracts research abstracts see: abstracts research

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    Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Modern rheumatology / the Japan Rheumatism Associa

    VOLUME: 18

    Page Numbers: 34-44

    Journal Abbreviation: Mod Rheumatol

    ISSN: 1439-7595

    DAY: 25

    MONTH: 01

    YEAR: 2008

    Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Information

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    LANGUAGE: eng

    NlmUniqueID: 100959226

    Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Keywords Mesh Terms:

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    Chemical & Substance for Abstract: Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis. Information

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    Grant and Affiliation Information for Efficacy of high-dose intravenous immunoglobulin therapy in Japanese patients with steroid-resistant polymyositis and dermatomyositis.

    AFFILIATION: Department of Rheumatology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan, saito@oha.toho-u.ac.jp.

    Country: Japan

    Japan Research PublicationJapan Research Publication

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    MEDLINETA: Mod Rheumatol

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