Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/22655
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dc.contributor.authorPakas, I.en
dc.contributor.authorIoannidis, J. P.en
dc.contributor.authorMalagari, K.en
dc.contributor.authorSkopouli, F. N.en
dc.contributor.authorMoutsopoulos, H. M.en
dc.contributor.authorVlachoyiannopoulos, P. G.en
dc.date.accessioned2015-11-24T19:25:48Z-
dc.date.available2015-11-24T19:25:48Z-
dc.identifier.issn0315-162X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22655-
dc.rightsDefault Licence-
dc.subjectAmbulatory Careen
dc.subjectAnti-Inflammatory Agents/analysis/*therapeutic useen
dc.subjectCyclophosphamide/*therapeutic useen
dc.subjectDose-Response Relationship, Drugen
dc.subjectDrug Therapy, Combinationen
dc.subjectDyspnea/drug therapy/etiology/physiopathologyen
dc.subjectFemaleen
dc.subjectHospitals, Universityen
dc.subjectHumansen
dc.subjectImmunosuppressive Agents/*therapeutic useen
dc.subjectInjections, Intravenousen
dc.subjectLung/physiopathology/radiographyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPrednisolone/administration & dosage/*therapeutic useen
dc.subjectProspective Studiesen
dc.subjectPulmonary Fibrosis/complications/*drug therapy/physiopathologyen
dc.subjectPulse Therapy, Drugen
dc.subjectRespiratory Function Testsen
dc.subjectScleroderma, Systemic/complications/*drug therapy/physiopathologyen
dc.subjectTomography, X-Ray Computeden
dc.subjectTreatment Outcomeen
dc.titleCyclophosphamide with low or high dose prednisolone for systemic sclerosis lung diseaseen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/11842824-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2002-
heal.abstractOBJECTIVE: To evaluate the safety and efficacy of monthly intravenous pulses of cyclophosphamide (CP) in combination with low or high doses of prednisolone in patients with systemic sclerosis (SSc) related interstitial lung disease (ILD) with FVC < 70% of predicted. METHODS: An open label, non-parallel arm study, performed in the rheumatology outpatient clinic of a university hospital. Twenty-eight patients with SSc related ILD were evaluated. Endpoint evaluations included the evolution of high resolution computed tomography, pulmonary function tests, skin involvement and dyspnea over 12 months. Patients were treated with monthly IV CP in combination with prednisolone at low (< 10 mg/day; n = 12) or high doses (1 mg/kg/day for 4 weeks, then reducing the prednisolone by 5 mg/day on alternating days each 2 weeks; n = 16). RESULTS: In the low dose steroid group, no improvement was seen for any endpoint at 6 and 12 months of followup. In the high dose steroid group, at 12 months there was significant improvement in the percentage of "ground glass" parenchymal lung involvement (-5.7%; p = 0.003), as well as in the percentage of predicted FVC (12.4%; p < 0.001), the percentage of predicted DLCO (7.3%; p = 0.029), the percentage of skin involvement (-5.4%; p = 0.01), and the severity of dyspnea (p = 0.012). Substantial improvement was seen as early as 6 months. One patient (low dose group) died from ILD. CONCLUSION: A combination of IV pulse CP with high doses of prednisolone shows promising efficacy in improving the clinical, physiological, and radiological evolution of SSc related ILD with reversal of the underlying alveolitis.en
heal.journalNameJ Rheumatolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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