Glucocorticoids

Melissa Northcott, Eric F. Morand

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Otherpeer-review

Abstract

Glucocorticoids (GCs) were first used for the treatment of inflammatory disease in the 1950s and have been heavily relied on for systemic lupus erythematosus (SLE) management across the seven decades since. Their potent antiinflammatory and immunosuppressive properties and rapid onset of action make GCs effective in suppressing SLE disease activity in many cases, and their use can be life or organ saving in patients with severe disease. However, their predictable and dose-dependent adverse effects make GCs a less than optimal treatment in SLE, especially for long-term use, and minimization is therefore a goal of SLE management. The clinical use of GCs in SLE, mechanisms of action, and adverse effects will be discussed in this chapter.

Original languageEnglish
Title of host publicationLahita’s Systemic Lupus Erythematosus
EditorsRobert G. Lahita, Karen H. Costenbader, Richard Bucala, Susan Manzi, Munther A. Khamashta
Place of PublicationLondon UK
PublisherElsevier - Mosby
Chapter38
Pages611-622
Number of pages12
Edition6th
ISBN (Electronic)9780128205839
DOIs
Publication statusPublished - 2021

Keywords

  • Corticosteroids
  • Glucocorticoids
  • Systemic lupus erythematosus
  • Treatment

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