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      Long-Term Cefuroxime Axetil in Subacute Cutaneous Lupus erythematosus

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          Abstract

          Background: Subacute cutaneous lupus erythematosus (SCLE) is a subset of lupus erythematosus characterized mainly by prominent photoaggravated cutaneous manifestations. Standard therapies for SCLE include topical or systemic steroids and antimalarial drugs. Both methods show limited efficacy in clearing cutaneous lesions and occasionally produce serious side effects. Aim: To assess the efficacy of cefuroxime axetil, an oral cephalosporin with antibacterial and immunosuppressive activity, in patients with SCLE. Methods: Three patients with SCLE were treated with cefuroxime axetil at a daily dose of 500 mg for 30–60 days. Results: In all patients complete clearing of skin lesions was achieved and no side effects were observed. Conclusion: We suggest that long-term cefuroxime axetil administration might be an alternative treatment for patients with SCLE skin lesions.

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          Most cited references2

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          Dystrophic Calcinosis cutis in Subacute Lupus

          Dystrophic calcinosis cutis is known to be associated with various connective tissue disorders but to the best of our knowledge has never been reported in subacute cutaneous lupus erythematosus (SCLE), a distinctive cutaneous subset in the spectrum of lupus erythematosus. It occurs without calcium and phosphorus metabolic abnormalities and may be localized or generalized. We report a patient with SCLE who developed calcinosis cutis and had normal serum calcium and phosphorus levels and, interestingly, a normal concentration of blood ionized calcium. This latter, which represents the active form in the total amount of blood calcium, is a parameter only rarely assessed in patients with dystrophic calcinosis cutis. Thus, other pathogenic factors should be investigated to clarify the pathophysiology of the dystrophic type of calcification.
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            The Cutaneous Pathology Associated With Seropositivity for Antibodies to SSA (Ro)

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              Author and article information

              Journal
              DRM
              Dermatology
              10.1159/issn.1018-8665
              Dermatology
              S. Karger AG
              1018-8665
              1421-9832
              2000
              2000
              14 April 2000
              : 200
              : 2
              : 129-131
              Affiliations
              Department of Dermatology, CSK MSWiA, Warsaw, Poland
              Article
              18345 Dermatology 2000;200:129–131
              10.1159/000018345
              10773701
              f4bf8419-103b-480e-840d-2d229856108a
              © 2000 S. Karger AG, Basel

              Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

              History
              Page count
              References: 18, Pages: 3
              Categories
              Pharmacology and Treatment

              Oncology & Radiotherapy,Pathology,Surgery,Dermatology,Pharmacology & Pharmaceutical medicine
              Subacute cutaneous lupus erythematosus,Cefuroxime axetil,Cephalosporin

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