Document Detail


Radiologic progression during intramuscular methotrexate treatment of rheumatoid arthritis.
MedLine Citation:
PMID:  2084237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The radiographic evolution of joint lesions in 41 patients with severe and longstanding rheumatoid arthritis (RA) (mean duration: 12.9 years) treated with methotrexate (MTX) for more than 24 months (mean 31.2 months) was studied in a double blind manner by 2 rheumatologists using Larsen's score. All the patients were clinically improved. The radiological study of hands and wrists was possible in only 37 of 41 patients for surgical reasons. We found a deterioration of joint lesions in 31 cases (83.8%), a stabilization in 6 cases (16.2%). MTX does not appear to be able to slow down the radiographic evolution of RA. Whether it could prevent the radiologic progression in early RA remains to be elucidated.
Authors:
J Sany; S Kaliski; M Couret; M Cuchacovich; J P Daures
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  17     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-05-16     Completed Date:  1991-05-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1636-41     Citation Subset:  IM    
Affiliation:
Service d'Immuno-Rhumatologie, CHU, Montpellier, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthritis, Rheumatoid / drug therapy*,  pathology,  radiography
Arthrography
Double-Blind Method
Female
Humans
Injections, Intramuscular
Joint Diseases / pathology,  radiography
Joints / pathology
Male
Methotrexate / administration & dosage,  therapeutic use*
Middle Aged
Time Factors
Chemical
Reg. No./Substance:
59-05-2/Methotrexate

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


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