Controlled trial of synthetic D-penicillamine and prednisone in maintenance therapy for active chronic hepatitis.

作者: R B Stern , S P Wilkinson , P J Howorth , R Williams

DOI: 10.1136/GUT.18.1.19

关键词: DiseasePhysical therapyPrednisoneHepatitisInternal medicineActive chronic hepatitisMaintenance therapyRandomized controlled trialPenicillamineLiver function testsMedicineGastroenterology

摘要: In view of promising, but uncontrolled, reports the use D-penicillamine in active chronic hepatitis, a randomised, prospective, controlled trial this drug against prednisone was carried out. Of 35 patients entered, 18 received (increasing to 1-2 g daily) and 17 (15 mg daily). all disease had already been brought under biochemical control with corticosteroids. During first year trial, treatment nine group discontinued (two because lack seven side-effects) compared six (four control, one side-effects, development carcinomatosis. Detailed statistical analysis liver function tests remaining at end showed no significant differences. is associated higher frequency side-effects than prednisone. However, some it as satisfactory keeping control.

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