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Serum SH reactivity: A simple assessment of D-penicillamine absorption?

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Summary

A simple biochemical technique is described, which reflects the levels of D-penicillamine in the serum of patients with rheumatoid arthritis treated with this drug. The assay is based on the ability of D-penicillamine to stimulate the rate of reaction between serum sulphydryl groups and Ellman's reagent (DTNB). Using this technique, co-administration of oral ferrous sulphate has been shown to block D-penicillamine absorption. The assay provides useful information for the evaluation of a patient's clinical response to D-penicillamine treatment.

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Hall, N.D., Blake, D.R., Alexander, G.J.M. et al. Serum SH reactivity: A simple assessment of D-penicillamine absorption?. Rheumatol Int 1, 39–41 (1981). https://doi.org/10.1007/BF00541222

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