Document Detail


Etanercept-induced lupus accompanied by hemophagocytic syndrome.
MedLine Citation:
PMID:  21881286     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Hemophagocytic syndrome (HPS) is a severe, potentially life-threatening disorder characterized by an excessive activation of macrophages, such as may occur in the setting of lupus. A 62-year-old Japanese woman treated with etanercept for rheumatoid arthritis developed persistent fever, cytopenia, coagulopathy, and hyperferritinemia. Simultaneously, lupus-like features including pleuritis, hypocomplementemia, and positive autoantibodies were observed. She was diagnosed with HPS related to etanercept-induced lupus, and underwent immunosuppressive therapy with successful recovery. To our knowledge, this is the first case of etanercept-induced lupus accompanied by HPS. This case suggests that HPS should be considered as a complication during TNF-α inhibitor therapy.
Authors:
Daisuke Araki; Hiroshi Fujii; Masami Matsumura; Masakazu Yamagishi; Akihiro Yachie; Mitsuhiro Kawano
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Publication Detail:
Type:  Journal Article     Date:  2011-09-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  50     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2011  
Date Detail:
Created Date:  2011-09-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1843-8     Citation Subset:  IM    
Affiliation:
Division of Rheumatology, Department of Internal Medicine, Kanazawa University Graduate School of Medicine, Japan.
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