Thalidomide for severe systemic onset juvenile rheumatoid arthritis: A multicenter study.

Lehman, Thomas J A; Schechter, Sharon J; Sundel, Robert P; Oliveira, Sheila K; Huttenlocher, Anna; Onel, Karen B · J Pediatr · 2004

case_series · Level IV

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Abstract

Thirteen children with difficult systemic onset juvenile rheumatoid arthritis were treated with thalidomide. At 6 months, 11 of the 13 were able to reduce their use of prednisone ( P < .002), with a concurrent improvement in erythrocyte sedimentation rate ( P < .0001) and an increase in hemoglobin level ( P < 0.005). Juvenile rheumatoid arthritis improvement scores >/=50% were obtained by 10 of the 13 children.

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