Summary
Treatment and outcome of 111 patients who fell ill with Wegener’s granulomatosis (WG) between 1966 and 1990 were analysed retrospectively. Two regimens of treatment were distinguished: “conventional” treatment, i.e. daily application of cyclophosphamide/corticosteroids (FAUCI scheme) or azathioprine/ corticosteroids or corticosteroids alone, and “stage-adapted” treatment, characterized by change of different treatments (e.g. cyclophosphamide pulse therapy, cotrimoxazole) according to the extent and activity of disease. In patients who received stage-adapted treatment, exacerbations occurred significantly more frequent than in conventionally treated patients, while lethal outcome was much more frequent in conventionally treated patients.
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References
Austin, H. A., Klippel, J. H., Balow, J. E. et al., 1986, Therapy of lupus nephritis, N Engl. J Med. 314: 614–619
De Remee, R. A., McDonald, T. J., and Weiland, L. H., 1985, Wegener’s granulomatosis: observations on treatment with antimicrobial agents, Mayo. Clin. Proc. 60: 27–32
Fauci, A. S., Haynes, B. F., Katz, P. et al., 1983, Wegener’s granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years, Ann. Intern. Med. 98: 76–85
Georgi, J., Reinhold-Keller, E., and Gross, W. L., 1991, Cotrimoxazol bei Wegenerscher Granulomatose - Ergebnisse einer prospektiven Studie. Z. Rheumatol. 50: 249
Godman, G. and Churg, J., 1954, Wegener’s granulomatosis: pathology and a review of the literature, Arch. Pathol. 58: 533–553
Leavitt, R. Y., Fauci, A. S., Bloch, D. A. et al., 1990, The American College of Rheumatology 1990 criteria for the classification of Wegener’s granulomatosis, Arthritis Rheum. 33: 1101–1107
Le Thi Huong Du, Wechsler, S., de Gennes, C. et al., 1989, Aspects évoluties et prognostiques de la granulomatose de Wegener, Revue du Rhumatisme56: 583–588
Reinhold-Keller, E., Ulmer, M., Georgi, J. et al., 1991, Cyclophosphamid-Stoßtherapie bei der Wegenerschen Granulomatose: Prospektive Studie, Kiln. Wochenschr. 69 ( Suppl. XXIII ): 240–241
Steppat, D. and Gross, W. L., 1989, Stage-adapted treatment of Wegener’s granulomatosis, Klin. Wochenschr. 67: 666–671
Van der Woude, F. J., Lobatto, S., Permin, H. et al., 1985, Autoantibodies against neutrophils and monocytes: tool for diagnosis and marker of disease activity in Wegener’s granulomatosis, Lancet I: 425–429
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© 1993 Springer Science+Business Media New York
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Briedigkeit, L., Ulmer, M., Göbel, U., Natusch, R., Reinhold-Keller, E., Gross, W.L. (1993). Treatment of Wegener’s Granulomatosis. In: Gross, W.L. (eds) ANCA-Associated Vasculitides. Advances in Experimental Medicine and Biology, vol 336. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9182-2_89
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DOI: https://doi.org/10.1007/978-1-4757-9182-2_89
Publisher Name: Springer, Boston, MA
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