Document Detail


Tumour necrosis factor inhibitor-related lupus: safety of switching agents.
MedLine Citation:
PMID:  20119843     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An increase in reports of systemic lupus erythematosus (SLE) related to tumour necrosis factor inhibitor (TNFi) therapy has recently been highlighted. We report new-onset SLE in a 22-year-old woman after 13 months of infliximab for ankylosing spondylitis (AS). Lupus symptoms promptly resolved and serologic abnormalities improved after infliximab was ceased. A flare of AS symptoms after 2 months prompted cautious introduction of an alternative TNFi, etanercept. At 14 months follow-up, neither clinical nor serologic flare of lupus had occurred. To our knowledge, this is the third reported case of infliximab-related lupus that did not recur on switching to an alternative TNFi.
Authors:
Jessica M T Luong; Boon T Tan; Russell R C Buchanan; Lionel Schachna
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-02
Journal Detail:
Title:  Clinical rheumatology     Volume:  29     ISSN:  1434-9949     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-03-23     Completed Date:  2010-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  551-3     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Austin Health, PO Box 5555, Heidelberg, VIC, 3084, Australia. jessica.luong@austin.org.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibodies, Monoclonal / pharmacology*
Antirheumatic Agents / pharmacology
Autoimmunity
DNA / metabolism
Female
Humans
Immunoglobulin G / pharmacology*
Inflammation
Lupus Erythematosus, Systemic / blood,  drug therapy*
Quality of Life
Receptors, Tumor Necrosis Factor
Spondylitis, Ankylosing / blood,  drug therapy*
Time Factors
Tumor Necrosis Factor-alpha / antagonists & inhibitors*
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Antirheumatic Agents; 0/Immunoglobulin G; 0/Receptors, Tumor Necrosis Factor; 0/Tumor Necrosis Factor-alpha; 0/infliximab; 185243-69-0/TNFR-Fc fusion protein; 9007-49-2/DNA

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


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