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D-Penicillamine Therapy in Progressive Systemic Sclerosis (Scleroderma): A Retrospective Analysis

STEEN, VIRGINIA D., MEDSGER, THOMAS A., RODNAN, GERALD P.·1982·Annals of Internal Medicine

Abstract

In a retrospective study on progressive systemic sclerosis, we compared 73 patients who had received D-penicillamine therapy for a minimum of 6 consecutive months with 45 patients who had not received this drug. All patients had diffuse sclerodermatous skin changes and early disease (less than 3-years duration). D-Penicillamine was prescribed for an average of 24 months (range, 6 to 68 months) with a maximum daily dose of 500 to 1500 mg (median, 750 mg). During a mean follow-up interval of 38 months, the degree and extent of skin thickness, determined on physical examination, decreased considerably more in the patients treated with D-penicillamine than in patients in the comparison group (p = 0.07). The rate of new visceral organ involvement was reduced in patients treated with D-penicillamine, especially for the kidney (p = 0.01). Patients treated with D-penicillamine had a greater 5-year cumulative survival rate (88% versus 66%, p less than 0.05). Therapy with colchicine (23 patients) or immunosuppressive agents (26 patients) was not associated with these improvements.

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Metadata

Authors
STEEN, V. D., MEDSGER, T. A., & RODNAN, G. P.
Venue
Annals of Internal Medicine
Published
1982-11-01
Volume
97
Issue
5
Pages
652-659
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2003583490
Cited by
322
References
0
FWCI
8.19
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: D-Penicillamine Therapy in Progressive Systemic Sclerosis (Scleroderma): A Retrospective Analysis. https://app.cochat.ai/papers/10.7326/0003-4819-97-5-652
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STEEN, V. D., MEDSGER, T. A., & RODNAN, G. P. (1982). D-Penicillamine Therapy in Progressive Systemic Sclerosis (Scleroderma): A Retrospective Analysis. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-97-5-652

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