Association between gold induced skin rash and remission in patients with rheumatoid arthritis

Dan Caspi, Moshe Tishler, Michael Yaron

Research output: Contribution to journalArticlepeer-review

Abstract

The coincidence of skin eruption and remission induced by gold has not previously been reported. In 50 out of 247 patients with rheumatoid arthritis treated with gold salts (Solganal) between 1977 and 1987 treatment was stopped owing to adverse reactions. Skin rashes were present in 31 patients, 10 had nephropathy, and nine patients had aphthous stomatitis. All 31 patients who developed skin eruption entered a concomitant clinical and laboratory remission. The remission satisfied the American Rheumatism Association preliminary criteria and was accompanied by a significant decrease of mean erythrocyte sedimentation rate from 43 (SD 13) to 25 (11) mm/h. Disease was exacerbated in 23 patients after three to 60 months. Eight patients are in remission at present, five to 68 months after gold treatment was discontinued. In contrast, no remission was noticed among the 19 patients with nephropathy or stomatitis.

Original languageEnglish
Pages (from-to)730-732
Number of pages3
JournalAnnals of the Rheumatic Diseases
Volume48
Issue number9
DOIs
StatePublished - 1989

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