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자료유형
학술저널
저자정보
Sung-Eun Choi (Chonnam National University Hospital Chonnam National University Medical School) Dong-Jin Park (Department of Rheumatology Chonnam National University Hospital) Ji-Hyoun Kang (Chonnam National University Hospital Chonnam National University Medical School) Kyung-Eun Lee (Chonnam National University Medical School & Hospital Gwangju Korea) Haimuzi Xu (Division of Rheumatology Department of Internal Medicine Chonnam National University Medical School) Ji Shin Lee (Departments of Pathology Chonnam National University Medical School Gwangju Korea) Yoo Duk Choi (Dept. of Pathology Chonnam National University Medical School) Shin-Seok Lee (Division of Rheumatology Department of Internal Medicine Chonnam National University Hospital)
저널정보
대한류마티스학회 대한류마티스학회지 대한류마티스학회지 제26권 제1호
발행연도
2019.1
수록면
57 - 65 (9page)

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Objective. Although intravenous cyclophosphamide (IVC) is generally accepted as the standard therapy for induction treatment of active proliferative lupus nephritis (LN), several clinical trials have suggested that mycophenolate mofetil (MMF) is at least as effective as IVC. Because few Asian studies have compared the two treatment modalities, we compared the efficacies of MMF and IVC as LN remission induction treatments in Korean patients. Methods. We enrolled 39 patients with class III and IV LN who received MMF or IVC as LN induction therapy. The renal outcomes (i.e., complete response [CR], partial response [PR], and no response [NR]) at 6 and 12 months were defined using the ACR 2006 response criteria. Results. Of 39 patients, 23 (59.0%) were treated with IVC, and 16 (41.0%) were treated with MMF. Demographics, clinical characteristics, laboratory data, and adverse events did not significantly differ between the two groups. However, C3 levels were lower and activity scores in renal biopsy were higher in IVC-treated patients. CRs were achieved by 11 (47.8%) of the patients receiving IVC and 7 (43.8%) of the patients receiving MMF after 6 months of treatment (p=0.961) and by 11 (47.8%) of those who received IVC and 9 (56.2%) of those who received MMF at 12 months of treatment (p=0.713). Neither the PR rate nor the NR rate differed significantly at 6 or 12 months between the two groups. Conclusion. The efficacy of MMF does not differ from that of IVC in terms of induction of LN remission in Korean patients.

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