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Immunosuppressive Therapy for Severe Chronic Uveitis
Ruediger H. Andrasch, MD;
Bernard Pirofsky, MD;
Robert P. Burns, MD
Arch Ophthalmol. 1978;96(2):247-251.
Abstract
Twenty-five patients with severe, progressive, chronic uveitis who were poorly responsive or unresponsive to corticosteroid therapy received low-dose prednisone and cytotoxic immunosuppressive therapy. Azathioprine (2.0 to 2.5 mg/kg) or chlorambucil (6 to 8 mg) was combined with prednisone (10 to 15 mg) daily in a long-term therapeutic program. All 25 patients exhibited a therapeutic response. In 18 of 25 patients, complete quiescence of the inflammatory process was observed. The remaining seven patients showed a substantial decrease of uveitis with persistence of some inflammatory changes. Adverse side effects that resulted from this therapy were infrequent.
Author Affiliations
From the Divisions of Immunology, Allergy, and Rheumatology and the Department of Ophthalmology, University of Oregon Health Sciences Center, Portland.
Footnotes
Accepted for publication April 8, 1977.
Reprint requests to Division of Immunology, 3181 Sam Jackson Park Rd SW, Portland, OR 97201 (Dr Pirofsky).
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