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大剂量免疫抑制剂治疗自身免疫性疾病初探(附4例病例分析)
引用本文:艾脉兴,冷晓梅,曾小峰. 大剂量免疫抑制剂治疗自身免疫性疾病初探(附4例病例分析)[J]. 中日友好医院学报, 2006, 20(5): 278-280
作者姓名:艾脉兴  冷晓梅  曾小峰
作者单位:1. 中日友好医院,风湿免疫科,北京,100029
2. 中国医学科学院,中国协和医科大学,北京协和医院,风湿免疫科,北京,100730
摘    要:
目的:探讨大剂量化疗治疗自身免疫性疾病的可行性、疗效以及安全性.方法:分析误用大剂量免疫抑 制剂的4例自身免疫性疾病(系统性红斑狼疮2例、类风湿关节炎2例)患者的临床特点及转归,并复习有关文献.结果:4例患者误用大剂量免疫抑制剂并经相关治疗后病情均获得长期缓解,实验室指标显示病情均明显改善.结论:密切监测下的大剂量化疗治疗自身免疫性疾病安全可行,有望使疾病获得长期缓解.

关 键 词:自身免疫性疾病  大剂量化疗  治疗
文章编号:1001-0025(2006)05-0278-03
收稿时间:2006-06-05
修稿时间:2006-07-25

High-dose immunosuppressive therapy without stem cell rescue for autoimmune disease with 4 case reports
AI Mai-xing,LENG Xiao-mei,ZENG Xiao-feng. High-dose immunosuppressive therapy without stem cell rescue for autoimmune disease with 4 case reports[J]. Journal of China-Japan Friendship Hospital, 2006, 20(5): 278-280
Authors:AI Mai-xing  LENG Xiao-mei  ZENG Xiao-feng
Affiliation:Department of Rheumatology,China-Japan Friendship Hospital,Beijing, 100029,China
Abstract:
Objective:To explore the feasibility,efficacy,and safety of high-dose immunosuppressive therapy in patients with autoimmune diseases.Methods:Four patients(2 patients with systemic lupus erythematosus and another 2 patients with rheumatoid Arthritis),who misused high-dose chemotherapy,were reported.The features of clinical manifestation,outcome and lab findings were studies.The literatures associated with high-dose chemotherapy without stem cell rescue for autoimmune disease were reviewed.Results:All patients showed remission after high-dose chemotherapy with support therapy.The lab findings associated with disease manifestation were nearly normal.Conclusion:Under intense care,high-dose chemotherapy might be feasible and safe,and could induce complete remission in patients with refractory,severe autoimmune disease.
Keywords:autoimmune disease   high-dose chemotherapy   treatment
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