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
Hauptverfasser: 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
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container_issue 9
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container_title Zhongguo dang dai er ke za zhi
container_volume 22
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
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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&lt;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 At 6, 9, 12, and 18 months of treatment, 4, 13, 14, and 15 children respectively were withdrawn from prednisone.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. 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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&lt;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. 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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&lt;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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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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