Therapeutic Strategies for Systemic Necrotizing Vasculitides

Treatments of vasculitides have progressed markedly over the past few decades. The first attempts to obtain better-adapted therapeutic strategies evaluated the indications of conventional drugs, and their abilities prolong survival and reduce the number of relapses, while decreasing the severity and...

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Veröffentlicht in:Allergology International 2007, Vol.56 (2), p.105-111
Hauptverfasser: Guillevin, Loïc, Pagnoux, Christian
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description Treatments of vasculitides have progressed markedly over the past few decades. The first attempts to obtain better-adapted therapeutic strategies evaluated the indications of conventional drugs, and their abilities prolong survival and reduce the number of relapses, while decreasing the severity and number of side effects. Many prospective clinical trials were organized by the French Vasculitis Study Group and the European Vasculitis Study group, and have contributed to optimizing targeted treatment strategies. Recent therapeutic strategies include immunomodulating methods, like plasma exchanges, or products, like intravenous immunoglobulins, or, more recently, new agents called biotherapies. Some of them have achieved promising positive effects, for example, anti-CD20 monoclonal antibodies, and are now being evaluated in prospective trials.
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subjects Adrenal Cortex Hormones - therapeutic use
ANCA
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Murine-Derived
Antigens, CD20 - immunology
Antiviral Agents - therapeutic use
Blood Vessels - pathology
Churg-Strauss Syndrome - immunology
Churg-Strauss Syndrome - therapy
Cyclophosphamide - therapeutic use
Etanercept
Granulomatosis with Polyangiitis - immunology
Granulomatosis with Polyangiitis - therapy
Hepatitis B - complications
Hepatitis C - complications
HIV Infections - complications
Humans
Immunoglobulin G - therapeutic use
Immunoglobulins, Intravenous - therapeutic use
Immunologic Factors - therapeutic use
immunosuppressants
Immunosuppressive Agents - therapeutic use
Infliximab
Necrosis
Plasma Exchange
polyarteritis nodosa
Polyarteritis Nodosa - immunology
Polyarteritis Nodosa - therapy
Receptors, Tumor Necrosis Factor - therapeutic use
Rituximab
Treatment Outcome
Tumor Necrosis Factor-alpha - immunology
vasculitis
Vasculitis - drug therapy
Vasculitis - immunology
Vasculitis - pathology
Vasculitis - therapy
Vasculitis - virology
Wegener's granulomatosis
title Therapeutic Strategies for Systemic Necrotizing Vasculitides
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