Therapeutic effect of mizoribine on pemphigus vulgaris and pemphigus foliaceus
We evaluated the effectiveness of mizoribine, a newly developed immunosuppressive agent, as an adjuvant therapy in the treatment of both pemphigus vulgaris and pemphigus foliaceus. Eleven pemphigus patients (eight pemphigus vulgaris and three pemphigus foliaceus) received the combination therapy of...
Saved in:
Published in | Dermatologic therapy Vol. 25; no. 4; pp. 382 - 385 |
---|---|
Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Blackwell Publishing Ltd
01.07.2012
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | We evaluated the effectiveness of mizoribine, a newly developed immunosuppressive agent, as an adjuvant therapy in the treatment of both pemphigus vulgaris and pemphigus foliaceus. Eleven pemphigus patients (eight pemphigus vulgaris and three pemphigus foliaceus) received the combination therapy of prednisolone and mizoribine. Complete remission was observed in three of the eight patients with pemphigus vulgaris and in one of the three patients with pemphigus foliaceus. The four patients with complete remission had a rapid clinical response and achieved remission at a median of 11.8 months. Partial remission was achieved in two of the three patients with pemphigus foliaceus. The median time to achieve partial remission was 16.0 months. Six (55.6%) of the 11 patients with pemphigus had complete or partial remission and were able to taper their prednisolone. The cumulative probability of having a complete remission was 64.3% at 19 months of follow‐up using Kaplan–Meier analysis. The effectiveness of the additional mizoribine therapy could be attributed to its corticosteroid‐sparing properties as well as its immunosuppressive effects. The serum concentration titer of mizoribine was around 1.0 μg/mL 2 hours after administration. Patients who were not improved by the additional mizoribine might require a continuously higher dose of mizoribine to achieve effective therapy. |
---|---|
Bibliography: | Nakatomi Foundation Kaibara Morikazu Medical Science Promotion Foundation Cosmetology Research Foundation Uehara Memorial Foundation Japan Lydia O'Leary Memorial Foundation Japanese Dermatological Association (Shiseido Award) Ministry of Health, Labour and Welfare of Japan istex:B36F28FF5D8656BBB4013790030DBA109FA186E1 ArticleID:DTH1469 Fukuoka Foundation for Sound Health Galderma K.K. Ministry of Education, Culture, Sports, Science and Technology of Japan ark:/67375/WNG-6WT5SGGB-R ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
ISSN: | 1396-0296 1529-8019 |
DOI: | 10.1111/j.1529-8019.2012.01469.x |