Complement activation and corticosteroid therapy in the development of the adult respiratory distress syndrome.

R. M. Schein, R. Bergman, E. H. Marcial, D. Schultz, R. C. Duncan, P. I. Arnold, C. L. Sprung

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27 Scopus citations

Abstract

Fifty-nine patients in septic shock were observed for the development of the adult respiratory distress syndrome (ARDS) prior to and after receiving either 30 mg/kg methylprednisolone sodium succinate, 6 mg/kg dexamethasone sodium phosphate or no steroid. Serum levels of C3, C4 and Factor B allowed classification of 42 patients by activation of complement pathways. Despite a trend toward patients with severe septic shock who activate the alternative pathway being protected from the development of ARDS, complement pathway determination did not allow prediction of the development of ARDS and steroid pretreatment did not influence complement levels or prevent ARDS.

Original languageEnglish (US)
Pages (from-to)850-854
Number of pages5
JournalCHEST
Volume91
Issue number6
DOIs
StatePublished - Jun 1987
Externally publishedYes

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ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Schein, R. M., Bergman, R., Marcial, E. H., Schultz, D., Duncan, R. C., Arnold, P. I., & Sprung, C. L. (1987). Complement activation and corticosteroid therapy in the development of the adult respiratory distress syndrome. CHEST, 91(6), 850-854. https://doi.org/10.1378/chest.91.6.850