The influence of chrysotherapy on serum protein and immunoglobulin levels, rheumatoid factor, and antiepithelial antibody titers

Norman L. Gottlieb, Iris M. Kiem, Neal S. Penneys, Duane R. Schultz

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Serum protein and immunoglobulin concentrations, rheumatoid factor (RF) titers, and erythrocyte sedimentation rates (ESR) from 18 patients with active rheumatoid arthritis (RA) who were being treated with gold sodium thiomalate (Myochrysine) and monitored clinically were measured serially. Serum antiepithelial antibody (AEA) titers from 10 patients with pemphigus who were similarly treated were measured at frequent intervals. Statistically significant reductions of α2, γ, and total globulins, IgG, IgA, and IgM, ESR, and RF, and AEA titers were found after 3 to 6 months of gold treatment. Serum albumin levels rose significantly, but α1, β-globulin, and total protein did not change. A temporal relationship between the alteration of these serological tests and the clinical response to treatment was noted, but the magnitude of protein change did not correlate with the degree of clinical improvement within a given patient. These findings indicate that gold treatment influences serum protein and antibody concentrations in two diseases having diverse target organs and different etiologies. The question of whether gold compounds exert an immunosuppressive action, or whether the serologic changes are a secondary phenomenon reflecting amelioration of disease activity, is unresolved.

Original languageEnglish
Pages (from-to)962-972
Number of pages11
JournalThe Journal of laboratory and clinical medicine
Volume86
Issue number6
StatePublished - Jan 1 1975
Externally publishedYes

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Rheumatoid Factor
Gold Sodium Thiomalate
Immunoglobulins
Blood Proteins
Blood Sedimentation
Globulins
Sedimentation
Gold
Antibodies
Gold Compounds
Pemphigus
Serologic Tests
Immunosuppressive Agents
Serum Albumin
Immunoglobulin A
Immunoglobulin M
Rheumatoid Arthritis
Proteins
Therapeutics
Immunoglobulin G

ASJC Scopus subject areas

  • Medicine(all)
  • Pathology and Forensic Medicine

Cite this

The influence of chrysotherapy on serum protein and immunoglobulin levels, rheumatoid factor, and antiepithelial antibody titers. / Gottlieb, Norman L.; Kiem, Iris M.; Penneys, Neal S.; Schultz, Duane R.

In: The Journal of laboratory and clinical medicine, Vol. 86, No. 6, 01.01.1975, p. 962-972.

Research output: Contribution to journalArticle

Gottlieb, Norman L. ; Kiem, Iris M. ; Penneys, Neal S. ; Schultz, Duane R. / The influence of chrysotherapy on serum protein and immunoglobulin levels, rheumatoid factor, and antiepithelial antibody titers. In: The Journal of laboratory and clinical medicine. 1975 ; Vol. 86, No. 6. pp. 962-972.
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