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Leflunomide
(Arava), a new drug for the treatment of rheumatoid arthritis,
may also be useful in the treatment of resistant cases of psoriatic
arthritis, according to researchers at Northwestern University
Medical School in Chicago.
Researchers
followed 12 patients with psoriatic arthritis who had not responded
to at least one disease modifying anti-rheumatic drug (DMARD).
All of the participants were given leflunomide alone or in combination
with another DMARD.
After 2 to
3 months of treatment, 8 of the 12 patients had moderate to marked
improvement in both psoriatic arthritis and psoriasis, the researchers
reported in the Journal of Clinical Rheumatology.
Patients
reported statistically significant improvement in joint tenderness,
grip strength and global assessment.
Three participants
in the study changed to a lower dosage of leflunomide due to toxicity
but still received clinical benefit from receiving the lesser
amount of the drug.
"Leflunomide
may prove to be a useful agent for the treatment of recalcitrant
cases of psoriasis and psoriatic arthritis," concluded the researchers.
Other
sources: Journal of Clinical Rheumatology
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