Document Detail


Infliximab can induce a prolonged clinical remission and a decrease in thyroid hormonal requirements in a patient with SAPHO syndrome and hypothyroidism.
MedLine Citation:
PMID:  17938987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
SAPHO syndrome is a rare entity that compromises the skeletal system (arthritis-osteitis) and is associated with various dermatological conditions such as palmoplantaris pustulosis (PPP) and acne. We present the case of a 39-year-old man with invalidating arthritis derived from a SAPHO syndrome and hypothyroidism (after radioiodine treatment for a Graves' disease). Due to the severity and refractoriness of his disease, we decided to use infliximab. He showed a prompt and prolonged response of his joint and cutaneous manifestations after three doses of a tumor necrosis factor alpha (TNF-alpha) blocker. Interestingly, he also decreased his levothyroxine requirements after TNF-alpha blockade therapy.
Authors:
Francisca Sabugo; Claudio Liberman; Juan Pablo Niedmann; Lilian Soto; Miguel Cuchacovich
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-10-16
Journal Detail:
Title:  Clinical rheumatology     Volume:  27     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-12     Completed Date:  2008-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  533-5     Citation Subset:  IM    
Affiliation:
Rheumatology Section, Department of Medicine, Clinical Hospital, University of Chile, Independencia, Santiago, Chile.
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MeSH Terms
Descriptor/Qualifier:
Acquired Hyperostosis Syndrome / drug therapy*
Adult
Antibodies, Monoclonal / therapeutic use*
Antirheumatic Agents / therapeutic use*
Dose-Response Relationship, Drug
Humans
Hypothyroidism / drug therapy*
Male
Remission Induction
Thyroxine / therapeutic use*
Tumor Necrosis Factor-alpha / antagonists & inhibitors
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Antirheumatic Agents; 0/Tumor Necrosis Factor-alpha; 0/infliximab; 7488-70-2/Thyroxine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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