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A Comparison of Methotrexate with Placebo for the Maintenance of Remission in Crohn's Disease
Ist Teil von
The New England journal of medicine, 2000-06, Vol.342 (22), p.1627-1632
Ort / Verlag
Boston: Massachusetts Medical Society
Erscheinungsjahr
2000
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Crohn's disease is a chronic inflammatory disorder of the gastrointestinal tract. Since the cause of the disease is unknown,
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nonspecific antiinflammatory agents such as corticosteroids are frequently prescribed.
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However, the long-term use of corticosteroids is poorly tolerated.
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Therefore, a safe and effective long-term treatment that eliminates the need for corticosteroids is desirable. Although purine antimetabolites (mercaptopurine and azathioprine)
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are moderately effective, the disease often relapses despite treatment with these agents.
When used as therapy for rheumatoid arthritis, methotrexate frequently reduces or eliminates the need for corticosteroids.
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Therefore, it is reasonable to hypothesize that it may . . .