Cited 14 times in
Treatment of refractory IgA vasculitis with dapsone: a systematic review
DC Field | Value | Language |
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dc.contributor.author | 신재일 | - |
dc.contributor.author | 이금화 | - |
dc.date.accessioned | 2020-09-28T11:30:05Z | - |
dc.date.available | 2020-09-28T11:30:05Z | - |
dc.date.issued | 2020-05 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/179209 | - |
dc.description.abstract | IgA vasculitis, formerly known as Henoch-Schönlein purpura, is a systemic IgA-mediated vasculitis of the small vessels commonly seen in children. The natural history of IgA vasculitis is generally self-limiting; however, one-third of patients experience symptom recurrence and a refractory course. This systematic review examined the use of dapsone in refractory IgA vasculitis cases. A literature search of PubMed databases retrieved 13 articles published until June 14, 2018. The most common clinical feature was a palpable rash (100% of patients), followed by joint pain (69.2%). Treatment response within 1-2 days was observed in 6 of 26 patients (23.1%) versus within 3-7 days in 17 patients (65.4%). Relapse after treatment discontinuation was reported in 17 patients (65.4%) but not in 3 patients (11.5 %). Four of the 26 patients (15.4%) reported adverse effects of dapsone including arthralgia (7.7%), rash (7.7%), and dapsone hypersensitivity syndrome (3.8%). Our findings suggest that dapsone may affect refractory IgA vasculitis. Multicenter randomized placebo-controlled trials are necessary to determine the standard dosage of dapsone at initial or tapering of treatment in IgA vasculitis patients and evaluate whether dapsone has a significant benefit versus steroids or other medications. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Pediatric Society | - |
dc.relation.isPartOf | Clinical and Experimental Pediatrics | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Treatment of refractory IgA vasculitis with dapsone: a systematic review | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Pediatrics (소아청소년과학교실) | - |
dc.contributor.googleauthor | Keum Hwa Lee | - |
dc.contributor.googleauthor | Sung Hwi Hong | - |
dc.contributor.googleauthor | Jinhae Jun | - |
dc.contributor.googleauthor | Youngheun Jo | - |
dc.contributor.googleauthor | Woogyeong Jo | - |
dc.contributor.googleauthor | Dayeon Choi | - |
dc.contributor.googleauthor | Jeongho Joo | - |
dc.contributor.googleauthor | Guhyun Jung | - |
dc.contributor.googleauthor | Sunghee Ahn | - |
dc.contributor.googleauthor | Andreas Kronbichler | - |
dc.contributor.googleauthor | Michael Eisenhut | - |
dc.contributor.googleauthor | Jae Il Shin | - |
dc.identifier.doi | 10.3345/kjp.2019.00514 | - |
dc.contributor.localId | A02142 | - |
dc.contributor.localId | A04622 | - |
dc.relation.journalcode | J03867 | - |
dc.identifier.eissn | 2713-4148 | - |
dc.identifier.pmid | 32024340 | - |
dc.subject.keyword | Dapsone | - |
dc.subject.keyword | Henoch-Schonlein purpura | - |
dc.subject.keyword | IgA vasculitis | - |
dc.subject.keyword | Systematic review | - |
dc.contributor.alternativeName | Shin, Jae Il | - |
dc.contributor.affiliatedAuthor | 신재일 | - |
dc.contributor.affiliatedAuthor | 이금화 | - |
dc.citation.volume | 63 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 158 | - |
dc.citation.endPage | 163 | - |
dc.identifier.bibliographicCitation | Clinical and Experimental Pediatrics, Vol.63(5) : 158-163, 2020-05 | - |
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