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© 1976 British Society for Rheumatology


research-article

DAPSONE IN RHEUMATOID ARTHRITIS

B. McCONKEY1,, P. DAVIES2, R. A. CROCKSON1, A. P. CROCKSON1, M. BUTLER2 and T. J. CONSTABLE1

1Dudley Road Hospital and the Department of Experimental Pathology, Birmingham University
2Department of Mathematical Statistics, Birmingham University

Correspondence to: Reprints from: Dr B. McConkey, Dudley Road Hospital, PO Box 293, Birmingham B18 7QH.

After a preliminary period of observation, 71 patients with consistently active rheumatoid arthritis (RA) were given dapsone 50 mg daily for one week, then 100 mg daily. There was a significant improvement in subjective clinical state and there were significant falls in serum C-reactive protein (CRP) and the ESR; the Rose-Waaler titre (RW) did not fall.

The results were compared with those in 78 patients who had gold. Subjective clinical improvement was slower with gold, but from six weeks the pattern of changes in clinical score, CRP and ESR was similar for both drugs. The RW fell during gold treatment.

The results suggest dapsone is effective in RA; over-all it appears to be slightly less effective than gold but much less toxic.


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