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Basic treatment of rheumatoid arthritis: new approachesBasic treatment of rheumatoid arthritis: new approaches.


Kovalenko V.N., Golovkov Y. Z. Basic treatment of rheumatoid arthritis: new approaches. Revmatology in Europe 1997, Vol. 26, Suppl. 2, Abst. 446.

Ukrainian Centre of Rheumatology, Kiev, Ukraine. 50th Anniversary, EULAR 97, 10th Symposium - Vienna, Austria - November 19-22, 1997


Abstract: We applied the drug WOBENZYM® (MUCOS Pharma GmbH & Co., Germany) in the complex treatment of 21 rheumatoid arthritis (RA) patients (mean age 41,1 ± 6,4 years), which formed the basic group (BG), parallel with NSAIDs. In 27 patients of the control group (CG) there were used only NSAIDs.

The both groups were comparable by the age, severity of their disease, and accompanying diseases.

The WOBENZYM was given during 1 year, at the dose of 15 tablets a day. The treatment efficacy was estimated by the data of clinical, laboratory and instrumental findings, every month. The intensity of pain syndrome reduced in pts of BG from 6,85 ± 0,28 to 2,8 ± 0,19 /points/ (p<0,01), while in pts of CG from 7,04 ± 0,26 to 3,87 ± 0,24 /points/ (p<0,01), but this reduction was more pronounced in pts of BG (p<0,01).

Pain reduction by 50 % was observed in 85 % of BG but only in 39,1 % of CG pts. (p<0,05). Patient self-evaluation of treatment efficacy coincided with physician evalutation in 87,5 % of BG pts, while in CG – 68 % (p<0,05). There was observed positive dynamics of Stanford form indices: from 31,2 ± 3,5 (units) to 22,1 ± 3,4 in the BG (p<0,05), while in the CG changes were insignificant. Also we have observed increase of hand strength in BG and CG by 4,52 ± 0,86 kg and 2,27 ± 0,51 kg accordingly (p<0,05). We have not observed adverse reactions in BG, while in 20 % of CG pts. (p<0,01). By infrared thermography data resumption of inflammatory process, or its essential reduction was stated, ESR also decreased (p<0,05).

As evidenced by the data presented, WOBENZYM® application in treatment of RA pts permits to effective curative results at absence of adverse reactions.