Abstract

Objective To compare the therapeutic effect, adverse effects and safety of leflunomide (LEF)and cyclophosphamide(CTX) on lupus nephritis(LN). Methods 43 patients with reactive LN were randomly divided into two groups. Based on hormone application,22 cases in LEF group were given LEF orally and 21 cases in CTX group were given CTX intravenous drip discontinuously. They were followed up for six months. The related indexes and possible concomitant adverse effects were detected. Results The total effective rate in LEF group was 81.8% and that in CTX group was 85.7%. The tolerance in LEF group was better and 3 cases had adverse effects. 13 cases in CTX group had adverse effects. Conclusion LEF had the same efficacy as CTX in the LN therapy, but the tolerance is better and the side effects are minor than CTX. Key words: Leflunomide; Cyclophosphamide ; Lupus nephritis

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