Author/Editor     Schmidt, Z; Brozik, M; Megyeri, A; Meretey, K
Title     Decrease of rheumatoid factor levels by methotrexate therapy in elderly onset rheumatoid arthritis patients
Type     članek
Source     New Eur Rheumatol
Vol. and No.     Letnik 1, št. 1
Publication year     1993
Volume     str. 21-4
Language     eng
Abstract     Clinical improvement and serum RF levels were studied in patients with elderly onset rheumatoid arthritis/ORA/ on MTX versus other second line therapies. For a better analysis isotype specific ELISA technique was used in addition to agglutination tests for RF determination. Clinical activity was reduced in both treatment modality groups. No changes in RF levels were detected in the control group. A significant decrease in RF titers and IgM RF levels occurred in patients on MTX, whereas the decrease in IgA RF was not significant. No correlation was found between clinical activity and RF levels. Thus, MTX appears to exert a direct suppressive effect on IgM RF production, which may contribute to its high therapeutic effcacy in ORA.
Descriptors     ARTHRITIS, RHEUMATOID
METHOTREXATE
AGED
RHEUMATOID FACTOR
TREATMENT OUTCOME