Whipple's disease medical therapy: Difference between revisions
Jump to navigation
Jump to search
(Created page with "{{Whipple's disease}} {{CMG}} ==Overview== ==Medical Therapy== ===Pharmacotherapy=== ====Chronic Pharmacotherapies==== Treatment is with penicillin, ampicillin, ...") |
|||
Line 11: | Line 11: | ||
====Chronic Pharmacotherapies==== | ====Chronic Pharmacotherapies==== | ||
Treatment is with [[penicillin]], [[ampicillin]], [[tetracycline]] or [[co-trimoxazole]] for 1 -2 years.<ref name= | Treatment is with [[penicillin]], [[ampicillin]], [[tetracycline]] or [[co-trimoxazole]] for 1 -2 years.<ref name="pmid15476147">{{cite journal |author=Bai JC, Mazure RM, Vazquez H, Niveloni SI, Smecuol E, Pedreira S, Mauriño E |title=Whipple's disease |journal=[[Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association]] |volume=2 |issue=10 |pages=849–60 |year=2004 |month=October |pmid=15476147 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S1542356504003878 |accessdate=2012-09-04}}</ref> Any treatment lasting less than a year has an approximate relapse rate of 40%. In the January 4, 2007 issue of the [[New England Journal of Medicine]], Fenollar ''et al'' suggest the use of [[doxycycline]] with [[hydroxychloroquine]] for 12 to 18 months. Sulfonamides ([[Sulfadiazine]] or [[Sulfamethoxazole]]) should be added for treatment of neurological symptoms.<ref name=Fenollar_2007>{{cite journal |author=Fenollar F, Puéchal X, Raoult D |title=Whipple's disease |journal=N Engl J Med |volume=356 |issue=1 |pages=55-66 |year=2007 |pmid=17202456}}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 19:29, 4 September 2012
Whipple's disease Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Whipple's disease medical therapy On the Web |
American Roentgen Ray Society Images of Whipple's disease medical therapy |
Risk calculators and risk factors for Whipple's disease medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
Pharmacotherapy
Chronic Pharmacotherapies
Treatment is with penicillin, ampicillin, tetracycline or co-trimoxazole for 1 -2 years.[1] Any treatment lasting less than a year has an approximate relapse rate of 40%. In the January 4, 2007 issue of the New England Journal of Medicine, Fenollar et al suggest the use of doxycycline with hydroxychloroquine for 12 to 18 months. Sulfonamides (Sulfadiazine or Sulfamethoxazole) should be added for treatment of neurological symptoms.[2]
References
- ↑ Bai JC, Mazure RM, Vazquez H, Niveloni SI, Smecuol E, Pedreira S, Mauriño E (2004). "Whipple's disease". Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association. 2 (10): 849–60. PMID 15476147. Retrieved 2012-09-04. Unknown parameter
|month=
ignored (help) - ↑ Fenollar F, Puéchal X, Raoult D (2007). "Whipple's disease". N Engl J Med. 356 (1): 55–66. PMID 17202456.