title: [Value of "bolus" cyclophosphamide injections in Behçet's disease. Experience of 17 cases].
abstract: Seventeen patients with Behçet's disease were treated with intermittent intravenous bolus injections of cyclophosphamide. Twelve patients had severe eye lesions, 7 had central neurological disorders and 2 had both ocular and central nervous system involvement. Cyclophosphamide was given during 4 weeks on average, in mean doses of 922 +/- 127 mg. Each patient received an average of 10 +/- 5 injections. The drug was generally well tolerated; only one patient developed moderate and transient hepatocytolysis. Visual acuity was improved in 12 of the 22 eyes with active lesions, and signs of inflammation disappeared in all cases. Neurological improvement was observed in 5 of the 7 patients affected, with complete regression of the disorders in 2 of them. In 16 patients who were also under corticosteroid therapy, steroid dosage could be significantly reduced by 44 +/- 11 mg per day.
authors: Service de Médecine interne, Groupe hospitalier Pitié-Salpêtrière, Paris.
authors: L T
authors: LT
authors: Du
authors: O
authors: O
authors: Fain
authors: B
authors: B
authors: Wechsler
authors: I
authors: I
authors: Cochereau
authors: P L
authors: PL
authors: Hoang
authors: J
authors: J
authors: Souillem
authors: J C
authors: JC
authors: Piette
authors: O
authors: O
authors: Blétry
authors: P
authors: P
authors: Godeau
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001528:Behcet Syndrome / Q000097:blood / Q000150:complications / Q000188:drug therapy*; D003520:Cyclophosphamide / Q000008:administration & dosage / Q000627:therapeutic use*; D005128:Eye Diseases / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000188:drug therapy / Q000209:etiology
chemical_list: D000305:Adrenal Cortex Hormones; D003520:Cyclophosphamide
vernacular_title: Intérêt des "bolus" de cyclophosphamide dans la maladie de Behçet. Expérience de 17 cas.