Abstract | OBJECTIVE: SUBJECTS AND METHODS: in this retrospective study 10 patients (31-65 years, 6 distal colitis, 1 left colitis, 3 pancolitis) moderately active and corticosteroid-resistant or dependent were included. Patients received ciclosporine intraveinously (4 mg/kg/d) and were evaluated 10 days later. If efficient, ciclosporine was given orally for 3 Months, azathioprine was introduced and steroids were progressively tapered. RESULTS: on inclusion the clinical score, based on the Mayo Clinic score, was of 5.7 +/- 0.5. On Day 10, the score decreased significantly (2.1 +/- 0.7, p<0.001) and the therapeutic effect was sustained at the third Month (1.8 +/- 0.7). With azathioprine, 4 patients were still in remission with a mean follow up of 23.3 +/- 15.5 Months. CONCLUSION: therapeutic scheme proposed in severe acute UC failing to respond to steroids may be helpful in some patients with a chronic active UC. Clinical improvement is rapid and long-term response is maintained in about 1 patient out of 2.
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Authors | Driffa Moussata, Stéphane Nancey, Bernard Flourié, Sylvette Claudel Bonvoisin, Jean-Claude Cenni, Louis Descos |
Journal | Presse medicale (Paris, France : 1983)
(Presse Med)
Vol. 33
Issue 9 Pt 1
Pg. 590-4
(May 22 2004)
ISSN: 0755-4982 [Print] France |
Vernacular Title | Rectocolite ulcéro-hémorragique chronique active. Efficacité de la ciclosporine intra-veineuse puis orale, associée à l'azathioprine. |
PMID | 15226690
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Immunosuppressive Agents
- Cyclosporine
- Azathioprine
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Topics |
- Acute Disease
- Administration, Oral
- Adult
- Aged
- Attitude of Health Personnel
- Attitude to Health
- Azathioprine
(administration & dosage)
- Chronic Disease
- Colitis, Ulcerative
(classification, diagnosis, drug therapy, psychology)
- Cyclosporine
(administration & dosage)
- Drug Administration Schedule
- Drug Monitoring
- Drug Therapy, Combination
- Female
- Humans
- Immunosuppressive Agents
(administration & dosage)
- Infusions, Intravenous
- Male
- Middle Aged
- Remission Induction
(methods)
- Retrospective Studies
- Severity of Illness Index
- Time Factors
- Treatment Outcome
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