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Tumour necrosis factor α inhibitor treatment for sarcoidosis refractory to conventional treatments: a report of five patients

Identifieur interne : 001F36 ( Main/Exploration ); précédent : 001F35; suivant : 001F37

Tumour necrosis factor α inhibitor treatment for sarcoidosis refractory to conventional treatments: a report of five patients

Auteurs : C. Pritchard [États-Unis] ; K. Nadarajah [États-Unis]

Source :

RBID : ISTEX:415F619A6A8D8CC137BB0B76AB07F5916DEAC221

English descriptors

Abstract

Objective: To study the effectiveness of tumour necrosis factor α (TNFα) inhibitor treatment for sarcoidosis refractory to conventional treatments. Methods: Five patients (two men, three women) were treated with infliximab. All patients received a loading dose of 3 mg/kg at 0, 2, and 6 weeks and then maintenance infusions every 4–8 weeks. Patients had their dose increased or the dosing interval reduced when the disease relapsed. These patients had active disease despite treatment with corticosteroids and other immunomodulatory agents. All patients had a negative tuberculin skin test. Results: Sarcoidosis in all patients improved significantly without any serious adverse reactions. Conclusion: This study suggests that TNFα is effective in patients for whom conventional treatment fails.

Url:
DOI: 10.1136/ard.2002.004226


Affiliations:


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<term>ACE, angiotensin converting enzyme</term>
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<term>TNFα, tumour necrosis factor α</term>
<term>infliximab</term>
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<term>Active disease</term>
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<term>Approximate duration</term>
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<term>Case reports</term>
<term>Caucasian woman</term>
<term>Conventional treatments</term>
<term>Cyclosporin</term>
<term>Cytokine</term>
<term>Daily methotrexate</term>
<term>Differential efficacy</term>
<term>Dosing interval</term>
<term>Gait dysfunction</term>
<term>Glucocorticoid</term>
<term>Glucocorticoids hydroxychloroquine</term>
<term>Granuloma</term>
<term>Human alveolar macrophages</term>
<term>Human mouse antibody</term>
<term>Hydroxychloroquine</term>
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<term>Infliximab</term>
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<term>Maximum dosage</term>
<term>Methotrexate</term>
<term>Months cyclosporin</term>
<term>Nadarajah</term>
<term>Necrosis</term>
<term>Neurosarcoidosis</term>
<term>Other immunomodulatory treatments</term>
<term>Other patients</term>
<term>Pulmonary disease</term>
<term>Pulmonary sarcoidosis</term>
<term>Refractory sarcoidosis</term>
<term>Respir crit care</term>
<term>Rheumatoid</term>
<term>Rheumatoid arthritis</term>
<term>Sarcoid</term>
<term>Sarcoid endometritis</term>
<term>Sarcoid uveitis</term>
<term>Sarcoidosis</term>
<term>Sarcoidosis vasc</term>
<term>Skin nodules</term>
<term>Thoracic spine</term>
<term>Tnfa</term>
<term>Tnfa inhibitor treatment</term>
<term>Tnfa inhibitors</term>
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<div type="abstract" xml:lang="en">Objective: To study the effectiveness of tumour necrosis factor α (TNFα) inhibitor treatment for sarcoidosis refractory to conventional treatments. Methods: Five patients (two men, three women) were treated with infliximab. All patients received a loading dose of 3 mg/kg at 0, 2, and 6 weeks and then maintenance infusions every 4–8 weeks. Patients had their dose increased or the dosing interval reduced when the disease relapsed. These patients had active disease despite treatment with corticosteroids and other immunomodulatory agents. All patients had a negative tuberculin skin test. Results: Sarcoidosis in all patients improved significantly without any serious adverse reactions. Conclusion: This study suggests that TNFα is effective in patients for whom conventional treatment fails.</div>
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