Childhood dermatomyositis: Clinical course of 36 patients treated with low doses of corticosteroids
Thirty-six patients with juvenile dermatomyositis, seen consecutively between 1983 and 1996 and treated initially with low doses of corticosteroids (prednisolone 1 mg/kg/day), were studied retrospectively to evaluate their long-term evolution and to identify factors predictive of the functional outc...
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Published in | European journal of paediatric neurology Vol. 2; no. 4; pp. 205 - 211 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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England
Elsevier Ltd
1998
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Abstract | Thirty-six patients with juvenile dermatomyositis, seen consecutively between 1983 and 1996 and treated initially with low doses of corticosteroids (prednisolone 1 mg/kg/day), were studied retrospectively to evaluate their long-term evolution and to identify factors predictive of the functional outcome. After a mean follow-up of 4.9 years, 28 (78%) of the patients were well without functional impairment; five patients had inactive disease but with persisting disabilities; and three patients had active disease despite several years of treatment. Fifteen children (42%) developed dystrophic calcifications which, in five of these patients, interfered with functions. These patients treated for juvenile dermatomyositis with a low dose corticosteroid regimen had an evolution identical to that of the published series of patients treated with higher doses and probably had a better quality of life. The best predictors of good functional recovery and minimal calcinosis were early treatment after the onset of symptoms and low creatine kinase serum level at the time of diagnosis. |
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AbstractList | Thirty-six patients with juvenile dermatomyositis, seen consecutively between 1983 and 1996 and treated initially with low doses of corticosteroids (prednisolone 1 mg/kg/day), were studied retrospectively to evaluate their long-term evolution and to identify factors predictive of the functional outcome. After a mean follow-up of 4.9 years, 28 (78%) of the patients were well without functional impairment; five patients had inactive disease but with persisting disabilities; and three patients had active disease despite several years of treatment. Fifteen children (42%) developed dystrophic calcifications which, in five of these patients, interfered with functions. These patients treated for juvenile dermatomyositis with a low dose corticosteroid regimen had an evolution identical to that of the published series of patients treated with higher doses and probably had a better quality of life. The best predictors of good functional recovery and minimal calcinosis were early treatment after the onset of symptoms and low creatine kinase serum level at the time of diagnosis. |
Author | Tardieu, Marc Tabarki, Brahim Ponsot, Gerard Prieur, Anne-Marie |
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Cites_doi | 10.1016/S0022-3476(96)70295-0 10.1136/adc.58.6.445 10.1016/S0140-6736(89)92456-2 10.1136/adc.72.1.25 10.1097/00005792-196607000-00001 10.1111/j.1525-1470.1985.tb00465.x 10.1056/NEJM197502132920706 10.1016/S0022-3476(83)80706-9 10.1001/archpedi.1974.02110230064009 10.1016/S0022-3476(84)80012-8 10.1016/0887-8994(95)00195-6 |
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References | Vedanarayanan, Subramony, Ray, Evans (bib12) 1995; 13 Miller, Heckmatt, Dubowitz (bib5) 1983; 58 Banker, Victor (bib2) 1966; 45 Bohan, Peter (bib9) 1975; 292 Sansome, Dubowitz (bib6) 1995; 72 Heckmatt, Saunders, Peters (bib13) 1989; i Sullivan, Cassidy, Petty (bib3) 1977; 20 Bowyer, Blane, Sullivan, Cassidy (bib10) 1983; 103 Van Rossum, Hiemstra, Prieur, Rykers, Kuis (bib11) 1994; 12 Lang, Dooley (bib8) 1996; 128 Rose (bib15) 1974; 127 Pachman (bib1) 1982 Spencer, Hanson, Singsen (bib7) 1984; 105 Zeller, Cohen, Prieur, Guillevin (bib14) 1996; 23 Taied, Guichard, Salamon (bib4) 1985; 2 Miller (10.1016/S1090-3798(98)80021-4_bib5) 1983; 58 Pachman (10.1016/S1090-3798(98)80021-4_bib1) 1982 Heckmatt (10.1016/S1090-3798(98)80021-4_bib13) 1989; i Sansome (10.1016/S1090-3798(98)80021-4_bib6) 1995; 72 Bohan (10.1016/S1090-3798(98)80021-4_bib9) 1975; 292 Sullivan (10.1016/S1090-3798(98)80021-4_bib3) 1977; 20 Van Rossum (10.1016/S1090-3798(98)80021-4_bib11) 1994; 12 Rose (10.1016/S1090-3798(98)80021-4_bib15) 1974; 127 Banker (10.1016/S1090-3798(98)80021-4_bib2) 1966; 45 Taied (10.1016/S1090-3798(98)80021-4_bib4) 1985; 2 Vedanarayanan (10.1016/S1090-3798(98)80021-4_bib12) 1995; 13 Bowyer (10.1016/S1090-3798(98)80021-4_bib10) 1983; 103 Lang (10.1016/S1090-3798(98)80021-4_bib8) 1996; 128 Zeller (10.1016/S1090-3798(98)80021-4_bib14) 1996; 23 Spencer (10.1016/S1090-3798(98)80021-4_bib7) 1984; 105 |
References_xml | – volume: 12 start-page: 339 year: 1994 end-page: 342 ident: bib11 article-title: Juvenile dermato/polymyositis: a retrospective analysis of 33 cases with special focus on initial CPK levels publication-title: Clin Exp Rheum contributor: fullname: Kuis – volume: 292 start-page: 344 year: 1975 end-page: 347 ident: bib9 article-title: Polymyositis and dermatomyositis publication-title: New Engl J Med contributor: fullname: Peter – volume: 103 start-page: 882 year: 1983 end-page: 888 ident: bib10 article-title: Childhood outcome and development of dystrophic calcifications publication-title: J Pediatr contributor: fullname: Cassidy – volume: 13 start-page: 336 year: 1995 end-page: 339 ident: bib12 article-title: Treatment of childhood dermatomyositis with high dose intravenous immunoglobulin publication-title: Pediatr Neurol contributor: fullname: Evans – volume: i start-page: 1063 year: 1989 end-page: 1066 ident: bib13 article-title: Cyclosporin in juvenile dermatomyositis publication-title: Lancet contributor: fullname: Peters – volume: 128 start-page: 428 year: 1996 end-page: 432 ident: bib8 article-title: Failure of pulse intravenous methylprednisolone treatment in juvenile dermatomyositis publication-title: J Pediatr contributor: fullname: Dooley – volume: 2 start-page: 275 year: 1985 end-page: 285 ident: bib4 article-title: Prognosis in juvenile dermatomyositis: A cooperative retrospective study of 70 cases publication-title: Pediatr Dermatol contributor: fullname: Salamon – volume: 58 start-page: 445 year: 1983 end-page: 450 ident: bib5 article-title: Drug treatment of juvenile dermatomyositis publication-title: Arch Dis Child contributor: fullname: Dubowitz – start-page: 407 year: 1982 end-page: 432 ident: bib1 article-title: Juvenile dermatomyositis. Pathophysiology and disease expression publication-title: Pediatr Clin North Am contributor: fullname: Pachman – volume: 20 start-page: 327 year: 1977 end-page: 331 ident: bib3 article-title: Dermatomyositis in the pediatric patient publication-title: Arthiritis Rheum contributor: fullname: Petty – volume: 127 start-page: 518 year: 1974 end-page: 522 ident: bib15 article-title: Childhood polymyositis. A follow-up study with special reference to treatment with corticosteroids publication-title: Am J Dis Child contributor: fullname: Rose – volume: 105 start-page: 399 year: 1984 end-page: 408 ident: bib7 article-title: Course of treated juvenile dermatomyositis publication-title: J Pediatr contributor: fullname: Singsen – volume: 45 start-page: 261 year: 1966 end-page: 289 ident: bib2 article-title: Dermatomyositis (systemic angiopathy) of childhood publication-title: Medicine contributor: fullname: Victor – volume: 72 start-page: 25 year: 1995 end-page: 28 ident: bib6 article-title: Intravenous immunoglobulin in juvenile dermatomyositis. Four year review of nine cases publication-title: Arch Dis Childh contributor: fullname: Dubowitz – volume: 23 start-page: 142 year: 1996 end-page: 147 ident: bib14 article-title: Cyclosporin therapy in refractory juvenile dermatomyositis. Experience and long-term followup of six cases publication-title: J Rheumatol contributor: fullname: Guillevin – volume: 128 start-page: 428 year: 1996 ident: 10.1016/S1090-3798(98)80021-4_bib8 article-title: Failure of pulse intravenous methylprednisolone treatment in juvenile dermatomyositis publication-title: J Pediatr doi: 10.1016/S0022-3476(96)70295-0 contributor: fullname: Lang – start-page: 407 year: 1982 ident: 10.1016/S1090-3798(98)80021-4_bib1 article-title: Juvenile dermatomyositis. Pathophysiology and disease expression contributor: fullname: Pachman – volume: 58 start-page: 445 year: 1983 ident: 10.1016/S1090-3798(98)80021-4_bib5 article-title: Drug treatment of juvenile dermatomyositis publication-title: Arch Dis Child doi: 10.1136/adc.58.6.445 contributor: fullname: Miller – volume: 20 start-page: 327 year: 1977 ident: 10.1016/S1090-3798(98)80021-4_bib3 article-title: Dermatomyositis in the pediatric patient publication-title: Arthiritis Rheum contributor: fullname: Sullivan – volume: i start-page: 1063 year: 1989 ident: 10.1016/S1090-3798(98)80021-4_bib13 article-title: Cyclosporin in juvenile dermatomyositis publication-title: Lancet doi: 10.1016/S0140-6736(89)92456-2 contributor: fullname: Heckmatt – volume: 72 start-page: 25 year: 1995 ident: 10.1016/S1090-3798(98)80021-4_bib6 article-title: Intravenous immunoglobulin in juvenile dermatomyositis. Four year review of nine cases publication-title: Arch Dis Childh doi: 10.1136/adc.72.1.25 contributor: fullname: Sansome – volume: 45 start-page: 261 year: 1966 ident: 10.1016/S1090-3798(98)80021-4_bib2 article-title: Dermatomyositis (systemic angiopathy) of childhood publication-title: Medicine doi: 10.1097/00005792-196607000-00001 contributor: fullname: Banker – volume: 2 start-page: 275 year: 1985 ident: 10.1016/S1090-3798(98)80021-4_bib4 article-title: Prognosis in juvenile dermatomyositis: A cooperative retrospective study of 70 cases publication-title: Pediatr Dermatol doi: 10.1111/j.1525-1470.1985.tb00465.x contributor: fullname: Taied – volume: 292 start-page: 344 year: 1975 ident: 10.1016/S1090-3798(98)80021-4_bib9 article-title: Polymyositis and dermatomyositis publication-title: New Engl J Med doi: 10.1056/NEJM197502132920706 contributor: fullname: Bohan – volume: 103 start-page: 882 year: 1983 ident: 10.1016/S1090-3798(98)80021-4_bib10 article-title: Childhood outcome and development of dystrophic calcifications publication-title: J Pediatr doi: 10.1016/S0022-3476(83)80706-9 contributor: fullname: Bowyer – volume: 127 start-page: 518 year: 1974 ident: 10.1016/S1090-3798(98)80021-4_bib15 article-title: Childhood polymyositis. A follow-up study with special reference to treatment with corticosteroids publication-title: Am J Dis Child doi: 10.1001/archpedi.1974.02110230064009 contributor: fullname: Rose – volume: 105 start-page: 399 year: 1984 ident: 10.1016/S1090-3798(98)80021-4_bib7 article-title: Course of treated juvenile dermatomyositis publication-title: J Pediatr doi: 10.1016/S0022-3476(84)80012-8 contributor: fullname: Spencer – volume: 23 start-page: 142 year: 1996 ident: 10.1016/S1090-3798(98)80021-4_bib14 article-title: Cyclosporin therapy in refractory juvenile dermatomyositis. Experience and long-term followup of six cases publication-title: J Rheumatol contributor: fullname: Zeller – volume: 12 start-page: 339 year: 1994 ident: 10.1016/S1090-3798(98)80021-4_bib11 article-title: Juvenile dermato/polymyositis: a retrospective analysis of 33 cases with special focus on initial CPK levels publication-title: Clin Exp Rheum contributor: fullname: Van Rossum – volume: 13 start-page: 336 year: 1995 ident: 10.1016/S1090-3798(98)80021-4_bib12 article-title: Treatment of childhood dermatomyositis with high dose intravenous immunoglobulin publication-title: Pediatr Neurol doi: 10.1016/0887-8994(95)00195-6 contributor: fullname: Vedanarayanan |
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SubjectTerms | Adolescent Adrenal Cortex Hormones - administration & dosage Adrenal Cortex Hormones - therapeutic use Child Child, Preschool Creatine kinase Creatine Kinase - blood Cyclosporine - administration & dosage Cyclosporine - therapeutic use Dermatomyositis Dermatomyositis - blood Dermatomyositis - drug therapy Dose-Response Relationship, Drug Female Follow-Up Studies Humans Immunoglobulins, Intravenous - administration & dosage Immunoglobulins, Intravenous - therapeutic use Male Muscle Myosite Retrospective Studies Treatment Outcome |
Title | Childhood dermatomyositis: Clinical course of 36 patients treated with low doses of corticosteroids |
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