Document Detail


Treatment of relapsing polychondritis in the era of biological agents.
MedLine Citation:
PMID:  20020132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Relapsing polychondritis (RP) is a rare disorder, often requiring high doses of immunosuppressive therapy to control its potentially life-threatening consequences. The advent of biological agents has added to the armamentarium available to treat RP, but the lack of controlled trials, along with the small numbers of patients and disease heterogeneity means that new therapies are prescribed without the benefits of rigorous clinical research. Thus, information on individual cases is of value in expanding our knowledge of the use of biologic agents in rare conditions. We report on the use of rituximab in a patient who subsequently developed catastrophic aortic incompetence, and we review the literature in relation to the use of this drug in RP.
Authors:
Eoghan M McCarthy; Gaye Cunnane
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-18
Journal Detail:
Title:  Rheumatology international     Volume:  30     ISSN:  1437-160X     ISO Abbreviation:  Rheumatol. Int.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-19     Completed Date:  2010-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206885     Medline TA:  Rheumatol Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  827-8     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, St James' Hospital, Dublin 8, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Monoclonal / therapeutic use*
Antirheumatic Agents / therapeutic use
Aortic Valve / drug effects,  pathology,  surgery
Aortic Valve Insufficiency / drug therapy*,  immunology*,  surgery
Azathioprine / therapeutic use
C-Reactive Protein / metabolism
Cardiac Surgical Procedures
Collagen / immunology
Hearing Loss, Sensorineural / etiology,  surgery
Humans
Immunity, Cellular / drug effects,  immunology
Immunosuppressive Agents / therapeutic use*
Lymphocyte Activation / drug effects,  immunology
Male
Middle Aged
Polychondritis, Relapsing / complications*,  drug therapy*,  physiopathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Antirheumatic Agents; 0/Immunosuppressive Agents; 0/rituximab; 446-86-6/Azathioprine; 9007-34-5/Collagen; 9007-41-4/C-Reactive Protein

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