THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS

The article contains a history case of early onset of pauciarticular juvenile rheumatoid arthritis resistant to standard immunosuppressive treatment with methotrexate at a dose of 15 mg/m2 per week orally, with development of contractures and destructive changes in the joints. The resistance was suc...

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Main Authors: T. V. Sleptsova, E. I. Alexeeva, R. V. Denisova, T. M. Bzarova, K. B. Isaeva, E. V. Mitenko
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2012-11-01
Series:Вопросы современной педиатрии
Subjects:
Online Access:https://vsp.spr-journal.ru/jour/article/view/413
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author T. V. Sleptsova
E. I. Alexeeva
R. V. Denisova
T. M. Bzarova
K. B. Isaeva
E. V. Mitenko
author_facet T. V. Sleptsova
E. I. Alexeeva
R. V. Denisova
T. M. Bzarova
K. B. Isaeva
E. V. Mitenko
author_sort T. V. Sleptsova
collection DOAJ
description The article contains a history case of early onset of pauciarticular juvenile rheumatoid arthritis resistant to standard immunosuppressive treatment with methotrexate at a dose of 15 mg/m2 per week orally, with development of contractures and destructive changes in the joints. The resistance was successfully overcome with conversion to intravenous introduction at a dose of 25 mg/m2 per week. After 6 months of treatment acute inflammatory changes in the joins, arthralgia and morning joint stiffness were arrested, as well as laboratory markers of the active stage of disease lowered. After 12 months of treatment the motion capacity was completely restored in 3 of 4 affected joints. The non-active stage and remission were registered in 6 and 12 months, respectively. The remission has remained for 18 months.
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spelling doaj.art-da88c891e8824a22a818da0b9380e2622023-09-03T13:24:20Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352012-11-0111613113710.15690/vsp.v11i6.505413THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIST. V. Sleptsova0E. I. Alexeeva1R. V. Denisova2T. M. Bzarova3K. B. Isaeva4E. V. Mitenko5Научный центр здоровья детей РАМН, МоскваНаучный центр здоровья детей РАМН, Москва; Первый Московский государственный медицинский университет им. И.М. СеченоваНаучный центр здоровья детей РАМН, МоскваНаучный центр здоровья детей РАМН, МоскваНаучный центр здоровья детей РАМН, Москва,Научный центр здоровья детей РАМН, МоскваThe article contains a history case of early onset of pauciarticular juvenile rheumatoid arthritis resistant to standard immunosuppressive treatment with methotrexate at a dose of 15 mg/m2 per week orally, with development of contractures and destructive changes in the joints. The resistance was successfully overcome with conversion to intravenous introduction at a dose of 25 mg/m2 per week. After 6 months of treatment acute inflammatory changes in the joins, arthralgia and morning joint stiffness were arrested, as well as laboratory markers of the active stage of disease lowered. After 12 months of treatment the motion capacity was completely restored in 3 of 4 affected joints. The non-active stage and remission were registered in 6 and 12 months, respectively. The remission has remained for 18 months.https://vsp.spr-journal.ru/jour/article/view/413детиюношеский артритметотрексатвнутримышечное введение
spellingShingle T. V. Sleptsova
E. I. Alexeeva
R. V. Denisova
T. M. Bzarova
K. B. Isaeva
E. V. Mitenko
THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS
Вопросы современной педиатрии
дети
юношеский артрит
метотрексат
внутримышечное введение
title THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS
title_full THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS
title_fullStr THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS
title_full_unstemmed THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS
title_short THE EXPERIENCE OF PARENTERAL METHOTREXATE TREATMENT IN A PATIENT WITH PAUCIARTICULAR JUVENILE RHEUMATOID ARTHRITIS
title_sort experience of parenteral methotrexate treatment in a patient with pauciarticular juvenile rheumatoid arthritis
topic дети
юношеский артрит
метотрексат
внутримышечное введение
url https://vsp.spr-journal.ru/jour/article/view/413
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