Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years

dc.contributor.authorRawoot, A
dc.contributor.authorLittle, F
dc.contributor.authorHeckman, J
dc.date.accessioned2017-06-22T14:07:57Z
dc.date.available2017-06-22T14:07:57Z
dc.date.issued2006
dc.date.updated2016-01-12T08:10:10Z
dc.description.abstractThe long-term risk of malignancies in patients treated with immunosuppressive drugs is a concern among patients and physicians. Patients with myasthenia gravis (MG) respond well to azathioprine (Aza) but many require longterm treatment. The therapeutic effect is presumably largely due to reduced proliferation of actively dividing lymphocytes; however, the benefit of suppressing autoreactive lymphocytes may theoretically result in a concomitant reduction of immunosurveillance and thereby increase the risk of cancer. Many have assessed the malignancy risk in autoimmune diseases such as inflammatory bowel disease (IBD) and rheumatoid arthritis (RA), but these may have their own inherent risk such as colorectal cancer in IBD or lymphoma in RA.1,2 Few studies have been published related specifically to Aza exposure and cancer risk in MG.3,4 This report concerns the incidence of cancer in a South African MG cohort specifically assessing the Aza dose and the duration of treatment.
dc.identifierhttp://dx.doi.org/10.7196/SAMJ.1381
dc.identifier.apacitationRawoot, A., Little, F., & Heckman, J. (2006). Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24608en_ZA
dc.identifier.chicagocitationRawoot, A, F Little, and J Heckman "Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years." <i>South African Medical Journal</i> (2006) http://hdl.handle.net/11427/24608en_ZA
dc.identifier.citationRawoot, A., Little, F., & Heckman, J. (2006). Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years. South African Medical Journal, 96(12), 1249.
dc.identifier.ris TY - Journal Article AU - Rawoot, A AU - Little, F AU - Heckman, J AB - The long-term risk of malignancies in patients treated with immunosuppressive drugs is a concern among patients and physicians. Patients with myasthenia gravis (MG) respond well to azathioprine (Aza) but many require longterm treatment. The therapeutic effect is presumably largely due to reduced proliferation of actively dividing lymphocytes; however, the benefit of suppressing autoreactive lymphocytes may theoretically result in a concomitant reduction of immunosurveillance and thereby increase the risk of cancer. Many have assessed the malignancy risk in autoimmune diseases such as inflammatory bowel disease (IBD) and rheumatoid arthritis (RA), but these may have their own inherent risk such as colorectal cancer in IBD or lymphoma in RA.1,2 Few studies have been published related specifically to Aza exposure and cancer risk in MG.3,4 This report concerns the incidence of cancer in a South African MG cohort specifically assessing the Aza dose and the duration of treatment. DA - 2006 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2006 T1 - Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years TI - Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years UR - http://hdl.handle.net/11427/24608 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24608
dc.identifier.vancouvercitationRawoot A, Little F, Heckman J. Risk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years. South African Medical Journal. 2006; http://hdl.handle.net/11427/24608.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Neurologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleRisk of malignancy in myasthenia gravis patients exposed to azathioprine therapy for a median period of 3 years
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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