2007
Bosentan as a Rescue Therapy in Scleroderma Refractory Digital Ulcers
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2007
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Cited by 23 publications
(15 citation statements)
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“…However, several additional publications suggest that bosentan may provide an effective and swift response in the treatment of digital ulcers [13–19], as observed in the case herein presented. Macitentan also provided rapid (less than 3 months) and complete healing while maintaining a normal hepatic function and without observed DU recurrence after 6 months, arguing in favor of its use.…”
Section: Discussionmentioning
confidence: 63%
“…However, several additional publications suggest that bosentan may provide an effective and swift response in the treatment of digital ulcers [13–19], as observed in the case herein presented. Macitentan also provided rapid (less than 3 months) and complete healing while maintaining a normal hepatic function and without observed DU recurrence after 6 months, arguing in favor of its use.…”
Section: Discussionmentioning
confidence: 63%
“…Bosentan is licensed for prevention rather than therapy of DUs, based on two randomized, double-blind, placebocontrolled trials; RAPIDS-1 and RAPIDS-2 (5,6). However, in some patients (7)(8)(9), in a retrospective study ( 10) and three prospective, open-label studies (2,11,12), it also had a curative effect. These clinical observations confirm the hypothesized role of endothelin in the pathogenesis of DUs.…”
Section: Discussionmentioning
confidence: 99%
“…Bosentan was able to reduce the development of new ulcers in the treatment versus the placebo group by 48% (1.4 vs. 2.7 new ulcers). Although no healing of preexistent ulcers has been observed in the RAPIDS-1 study, several authors reported on cases with a marked improvement of digital ulcers [3,4,5]. In a long-term prospective noncontrolled study, bosentan showed a significant decrease in the number of ulcers [6].…”
Section: Discussionmentioning
confidence: 99%
