Document Detail


Comparison of intramuscular gold and sulphasalazine in the treatment of early rheumatoid arthritis. A one year prospective study.
MedLine Citation:
PMID:  8610215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We compared the effects of intramuscular gold and sulphasalazine on early, active rheumatoid arthritis in 128 consecutive patients. Intramuscular gold was started in the first 70 consecutive patients and sulphasalazine in the subsequent 58 patients. The patient groups were comparable with regard to clinical characteristics. In both groups clinical and laboratory parameters improved, but there was no significant difference between the two groups. The clinical improvement was most pronounced during the first three months. However, despite the clinical improvement a clear progression in radiological changes was observed in both groups, 40% of the patients taking gold and 48% of patients taking sulphasalazine discontinued the treatment because of adverse drug reactions or inefficacy during the one year follow-up. Adverse drug reactions were the main reason in both groups. These findings suggest that intramuscular gold and sulphasalazine seem to have an equal, positive effect on symptoms and clinical variables, but that radiological progression does occur in most patients none the less.
Authors:
R Peltomaa; L Paimela; T Helve; M Leirisalo-Repo
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Scandinavian journal of rheumatology     Volume:  24     ISSN:  0300-9742     ISO Abbreviation:  Scand. J. Rheumatol.     Publication Date:  1995  
Date Detail:
Created Date:  1996-05-24     Completed Date:  1996-05-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0321213     Medline TA:  Scand J Rheumatol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  330-5     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Kivelä Hospital, Helsinki, Finland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antirheumatic Agents / administration & dosage*,  adverse effects
Arthritis, Rheumatoid / complications,  drug therapy*
Female
Follow-Up Studies
Gold Sodium Thiomalate / administration & dosage*,  adverse effects
Humans
Injections, Intramuscular
Male
Middle Aged
Prospective Studies
Severity of Illness Index*
Sulfasalazine / administration & dosage*,  adverse effects
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antirheumatic Agents; 12244-57-4/Gold Sodium Thiomalate; 599-79-1/Sulfasalazine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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