Dosage and Duration of Methylprednisolone Therapy Affect the Occurrence of Cushing Habitus in Patients with Systemic Lupus Erythematosus.

Cushing habitus daily dose pulse dose total dose

Journal

Journal of pharmacy & bioallied sciences
ISSN: 0976-4879
Titre abrégé: J Pharm Bioallied Sci
Pays: India
ID NLM: 101537209

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 20 09 2019
accepted: 01 11 2019
entrez: 10 3 2020
pubmed: 10 3 2020
medline: 10 3 2020
Statut: ppublish

Résumé

Systemic lupus erythematosus (SLE) is a multisystem disease with very diverse developments. Corticosteroid is mostly used for the treatment of SLE as antiinflammatory and immunosuppressant, but its long-term use and high dose can cause the side effects such as Cushing habitus. Analyze the risk factors of Cushing habitus occurrence in patients with SLE comprising pulse dose, duration of therapy, daily dose, and total dose of methylprednisolone. Case Control study. 40 patients with SLE treated at Rheumatology outpatient clinic at Hasan Sadikin Hospital in Bandung was conducted. Each of these patients were divided into case and control groups. The design of this study was a case control study, the data was retrieved from medical record of patients with and without cushing habitus. Chi-squared test was used to test the relationship between independent variables followed by linear logistic regression analysis to determine the influence of the most influential variable in causing Cushing habitus. The results of this study showed that the use of total dose of methylprednisolon (> 8040 mg) has a significant effect on the incidence of Cushing habitus Significant relationship between daily dose and total dose of methylprednisolone on the occurrence of Cushing.

Identifiants

pubmed: 32148374
doi: 10.4103/jpbs.JPBS_212_19
pii: JPBS-11-628
pmc: PMC7020842
doi:

Types de publication

Journal Article

Langues

eng

Pagination

S628-S634

Informations de copyright

Copyright: © 2019 Journal of Pharmacy and Bioallied Sciences.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Didi Permana (D)

Department of Biological Pharmacy, Biotechnology Pharmacy Laboratory, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.

Melisa I Barliana (MI)

Department of Biological Pharmacy, Biotechnology Pharmacy Laboratory, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.
Center of Excellence in Higher Education for Pharmaceutical Care Innovation, University of Padjadjaran, Bandung, Indonesia.

Laniyati Hamijoyo (L)

Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, Indonesia.

Classifications MeSH