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  • Title: Mycophenolate mofetil in primary central nervous system vasculitis.
    Author: Salvarani C, Brown RD, Christianson TJ, Huston J, Giannini C, Miller DV, Muratore F, Hunder GG.
    Journal: Semin Arthritis Rheum; 2015 Aug; 45(1):55-9. PubMed ID: 25800827.
    Abstract:
    OBJECTIVE: To evaluate the efficacy and safety of mycophenolate mofetil (MMF) in adult primary central nervous system vasculitis (PCNSV). METHODS: We studied a cohort of 163 patients with PCNSV who were seen at the Mayo Clinic from 1983 to 2011. We compared patients treated with MMF and those receiving other therapies. RESULTS: We identified 16 patients treated with MMF. MMF in combination with GCs achieved a favorable response in most patients. A significant proportion of patients treated with MMF had a less severe disability at last follow-up compared to those receiving other therapies (p = 0.023) and cyclophosphamide and prednisone (p = 0.017). No statistically significant differences were observed regarding relapses and ability to discontinue therapy at last follow-up. A trend to a more favorable treatment response was observed in patients treated with MMF compared to those treated with other therapies (p = 0.075). Only 1 patient suspended MMF for severe leukopenia. CONCLUSION: MMF seems to be an effective and safe therapy for adult PCNSV.
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