Clinical effect of tacrolimus in the treatment of myasthenia gravis in children
To evaluate the efficacy and safety of tacrolimus in the treatment of children with myasthenia gravis (MG). A total of 28 children with MG were treated with tacrolimus. MG-Activities of Daily Living (MG-ADL) scale was used to assess clinical outcome and safety after 1, 3, 6, 9, and 12 months of trea...
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Veröffentlicht in: | Zhongguo dang dai er ke za zhi 2020-09, Vol.22 (9), p.964 |
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creator | Li, Jiu-Wei Fang, Fang Ren, Xiao-Tun Zhang, Wei-Hua Yang, Xin-Ying Ren, Chang-Hong Gong, Shuai Lyu, Jun-Lan Wang, Xiao-Hui Wang, Xu Wu, Hu-Sheng Ding, Chang-Hong |
description | To evaluate the efficacy and safety of tacrolimus in the treatment of children with myasthenia gravis (MG).
A total of 28 children with MG were treated with tacrolimus. MG-Activities of Daily Living (MG-ADL) scale was used to assess clinical outcome and safety after 1, 3, 6, 9, and 12 months of treatment.
After tacrolimus treatment, the MG-ADL score at 1, 3, 6, 9 and 12 months was lower than that at baseline (P |
format | Article |
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A total of 28 children with MG were treated with tacrolimus. MG-Activities of Daily Living (MG-ADL) scale was used to assess clinical outcome and safety after 1, 3, 6, 9, and 12 months of treatment.
After tacrolimus treatment, the MG-ADL score at 1, 3, 6, 9 and 12 months was lower than that at baseline (P<0.05), and the MG-ADL score showed a gradually decreasing trend. The response rates to tacrolimus treatment at 1, 3, 6, 9, and 12 months were 59%, 81%, 84%, 88%, and 88% respectively. At 6, 9, 12, and 18 months of treatment, 4, 13, 14, and 15 children respectively were withdrawn from prednisone. No recurrence was observed during treatment. Major adverse reactions/events were asymptomatic reduction in blood magnesium in 5 children and positive urine occult blood in 1 child, which turned negative without special treatment, and tacrolimus was not stopped due to such adverse reactions/events. One child was</description><identifier>ISSN: 1008-8830</identifier><identifier>PMID: 32933627</identifier><language>chi</language><publisher>China</publisher><subject>Activities of Daily Living ; Child ; Humans ; Immunosuppressive Agents ; Myasthenia Gravis - drug therapy ; Neoplasm Recurrence, Local ; Tacrolimus - therapeutic use</subject><ispartof>Zhongguo dang dai er ke za zhi, 2020-09, Vol.22 (9), p.964</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32933627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Jiu-Wei</creatorcontrib><creatorcontrib>Fang, Fang</creatorcontrib><creatorcontrib>Ren, Xiao-Tun</creatorcontrib><creatorcontrib>Zhang, Wei-Hua</creatorcontrib><creatorcontrib>Yang, Xin-Ying</creatorcontrib><creatorcontrib>Ren, Chang-Hong</creatorcontrib><creatorcontrib>Gong, Shuai</creatorcontrib><creatorcontrib>Lyu, Jun-Lan</creatorcontrib><creatorcontrib>Wang, Xiao-Hui</creatorcontrib><creatorcontrib>Wang, Xu</creatorcontrib><creatorcontrib>Wu, Hu-Sheng</creatorcontrib><creatorcontrib>Ding, Chang-Hong</creatorcontrib><title>Clinical effect of tacrolimus in the treatment of myasthenia gravis in children</title><title>Zhongguo dang dai er ke za zhi</title><addtitle>Zhongguo Dang Dai Er Ke Za Zhi</addtitle><description>To evaluate the efficacy and safety of tacrolimus in the treatment of children with myasthenia gravis (MG).
A total of 28 children with MG were treated with tacrolimus. MG-Activities of Daily Living (MG-ADL) scale was used to assess clinical outcome and safety after 1, 3, 6, 9, and 12 months of treatment.
After tacrolimus treatment, the MG-ADL score at 1, 3, 6, 9 and 12 months was lower than that at baseline (P<0.05), and the MG-ADL score showed a gradually decreasing trend. The response rates to tacrolimus treatment at 1, 3, 6, 9, and 12 months were 59%, 81%, 84%, 88%, and 88% respectively. At 6, 9, 12, and 18 months of treatment, 4, 13, 14, and 15 children respectively were withdrawn from prednisone. No recurrence was observed during treatment. Major adverse reactions/events were asymptomatic reduction in blood magnesium in 5 children and positive urine occult blood in 1 child, which turned negative without special treatment, and tacrolimus was not stopped due to such adverse reactions/events. One child was</description><subject>Activities of Daily Living</subject><subject>Child</subject><subject>Humans</subject><subject>Immunosuppressive Agents</subject><subject>Myasthenia Gravis - drug therapy</subject><subject>Neoplasm Recurrence, Local</subject><subject>Tacrolimus - therapeutic use</subject><issn>1008-8830</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMtqwzAURLVoadKkv1C07MYgWe9lMX1BIJvszbV83ajIj0p2IX_fkKarGWYOs5gbsuaM2cJawVbkPucvxpSVTtyRlSidELo0a7KvYhiCh0ix69DPdOzoDD6NMfRLpmGg8xHpnBDmHodL3Z8gn8MhAP1M8BMulD-G2CYctuS2g5jx4aobcnh9OVTvxW7_9lE974pJaVNwZ6WW3CjTslZyNFpKsJ0V2CgPsmFnYxSzzJVKcwDLwTGtW2ad7Dw4sSFPf7NTGr8XzHPdh-wxRhhwXHJdSikUN06aM_p4RZemx7aeUughner_D8QvTNVWTw</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Li, Jiu-Wei</creator><creator>Fang, Fang</creator><creator>Ren, Xiao-Tun</creator><creator>Zhang, Wei-Hua</creator><creator>Yang, Xin-Ying</creator><creator>Ren, Chang-Hong</creator><creator>Gong, Shuai</creator><creator>Lyu, Jun-Lan</creator><creator>Wang, Xiao-Hui</creator><creator>Wang, Xu</creator><creator>Wu, Hu-Sheng</creator><creator>Ding, Chang-Hong</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202009</creationdate><title>Clinical effect of tacrolimus in the treatment of myasthenia gravis in children</title><author>Li, Jiu-Wei ; Fang, Fang ; Ren, Xiao-Tun ; Zhang, Wei-Hua ; Yang, Xin-Ying ; Ren, Chang-Hong ; Gong, Shuai ; Lyu, Jun-Lan ; Wang, Xiao-Hui ; Wang, Xu ; Wu, Hu-Sheng ; Ding, Chang-Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p567-1984641757d0d41e7644a8f83eb5ca4b03eb7508092561aa81a9066d0894fca93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>chi</language><creationdate>2020</creationdate><topic>Activities of Daily Living</topic><topic>Child</topic><topic>Humans</topic><topic>Immunosuppressive Agents</topic><topic>Myasthenia Gravis - drug therapy</topic><topic>Neoplasm Recurrence, Local</topic><topic>Tacrolimus - therapeutic use</topic><toplevel>online_resources</toplevel><creatorcontrib>Li, Jiu-Wei</creatorcontrib><creatorcontrib>Fang, Fang</creatorcontrib><creatorcontrib>Ren, Xiao-Tun</creatorcontrib><creatorcontrib>Zhang, Wei-Hua</creatorcontrib><creatorcontrib>Yang, Xin-Ying</creatorcontrib><creatorcontrib>Ren, Chang-Hong</creatorcontrib><creatorcontrib>Gong, Shuai</creatorcontrib><creatorcontrib>Lyu, Jun-Lan</creatorcontrib><creatorcontrib>Wang, Xiao-Hui</creatorcontrib><creatorcontrib>Wang, Xu</creatorcontrib><creatorcontrib>Wu, Hu-Sheng</creatorcontrib><creatorcontrib>Ding, Chang-Hong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Zhongguo dang dai er ke za zhi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Jiu-Wei</au><au>Fang, Fang</au><au>Ren, Xiao-Tun</au><au>Zhang, Wei-Hua</au><au>Yang, Xin-Ying</au><au>Ren, Chang-Hong</au><au>Gong, Shuai</au><au>Lyu, Jun-Lan</au><au>Wang, Xiao-Hui</au><au>Wang, Xu</au><au>Wu, Hu-Sheng</au><au>Ding, Chang-Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical effect of tacrolimus in the treatment of myasthenia gravis in children</atitle><jtitle>Zhongguo dang dai er ke za zhi</jtitle><addtitle>Zhongguo Dang Dai Er Ke Za Zhi</addtitle><date>2020-09</date><risdate>2020</risdate><volume>22</volume><issue>9</issue><spage>964</spage><pages>964-</pages><issn>1008-8830</issn><abstract>To evaluate the efficacy and safety of tacrolimus in the treatment of children with myasthenia gravis (MG).
A total of 28 children with MG were treated with tacrolimus. MG-Activities of Daily Living (MG-ADL) scale was used to assess clinical outcome and safety after 1, 3, 6, 9, and 12 months of treatment.
After tacrolimus treatment, the MG-ADL score at 1, 3, 6, 9 and 12 months was lower than that at baseline (P<0.05), and the MG-ADL score showed a gradually decreasing trend. The response rates to tacrolimus treatment at 1, 3, 6, 9, and 12 months were 59%, 81%, 84%, 88%, and 88% respectively. At 6, 9, 12, and 18 months of treatment, 4, 13, 14, and 15 children respectively were withdrawn from prednisone. No recurrence was observed during treatment. Major adverse reactions/events were asymptomatic reduction in blood magnesium in 5 children and positive urine occult blood in 1 child, which turned negative without special treatment, and tacrolimus was not stopped due to such adverse reactions/events. One child was</abstract><cop>China</cop><pmid>32933627</pmid></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Activities of Daily Living Child Humans Immunosuppressive Agents Myasthenia Gravis - drug therapy Neoplasm Recurrence, Local Tacrolimus - therapeutic use |
title | Clinical effect of tacrolimus in the treatment of myasthenia gravis in children |
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