Methotrexate in primary Sjögren's syndrome

OBJECTIVE: To determine the safety and efficacy of methotrexate (MTX) in the treatment of primary Sjögren's syndrome (SS).

METHODS: An open, one-year pilot study of MTX (0.2 mg/kg body weight taken weekly) for the treatment of SS was performed. Seventeen patients with primary SS according to EEC criteria were enrolled in the study. Outcome was determined on the basis of clinical and laboratory parameters.

RESULTS: Weekly administration of MTX resulted in improvement of the main subjective symptoms (dry mouth and eyes) as well as in the frequency of parotid gland enlargement, dry cough and purpura. However, no improvement in the objective parameters of dry eyes and dry mouth were observed. Persistent asymptomatic elevation of the hepatic transaminase levels led to a dosage reduction in 7 patients (41%).

CONCLUSIONS: Weekly MTX may be an acceptable form of therapy for SS patients. Double-blind trials are needed to substantiate the efficacy of this therapeutic modality.

Medienart:

Artikel

Erscheinungsjahr:

1996

Erschienen:

1996

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Clinical and experimental rheumatology - 14(1996), 5 vom: 31. Sept., Seite 555-8

Sprache:

Englisch

Beteiligte Personen:

Skopouli, F N [VerfasserIn]
Jagiello, P [VerfasserIn]
Tsifetaki, N [VerfasserIn]
Moutsopoulos, H M [VerfasserIn]

Themen:

Antirheumatic Agents
Journal Article
Methotrexate
YL5FZ2Y5U1

Anmerkungen:

Date Completed 20.02.1997

Date Revised 12.01.2017

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM088807789