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Evaluation of D-penicillamine in juvenile chronic arthritis. A double-blind, multicenter study.

AbstractSeventy-four children with juvenile chronic arthritis were entered into a 6-month, multicenter, comparative double-blind study of the efficacy of D-penicillamine versus placebo. The results were evaluated in 70 patients, 55 of whom completed 6 months of the study. Improvement was observed in the total number of stiff joints, total number of painful joints, and total severity index measuring joint pain. There was also a significant reduction in the concurrent use of nonsteroidal anti-inflammatory drugs. D-penicillamine was well-tolerated in all but 2 patients. Some children in the placebo group exhibited definite improvement; however, relapses that were observed were mainly in that group. These results confirm the efficacy of D-penicillamine for the treatment of joint involvement in juvenile chronic arthritis.
AuthorsA M Prieur, C Piussan, P Manigne, P Bordigoni, C Griscelli
JournalArthritis and rheumatism (Arthritis Rheum) Vol. 28 Issue 4 Pg. 376-82 (Apr 1985) ISSN: 0004-3591 UNITED STATES
PMID3885958 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Inflammatory Agents
  • Placebos
  • Penicillamine
  • Prednisone
Topics
  • Adolescent
  • Anti-Inflammatory Agents (therapeutic use)
  • Arthritis, Juvenile Rheumatoid (drug therapy)
  • Child
  • Child, Preschool
  • Chronic Disease
  • Clinical Trials as Topic
  • Double-Blind Method
  • Drug Therapy, Combination
  • Female
  • Humans
  • Male
  • Penicillamine (adverse effects, therapeutic use)
  • Placebos
  • Prednisone (therapeutic use)