Document Detail


Use of immunomodulators and biologic therapies in children with inflammatory bowel disease.
MedLine Citation:
PMID:  20594138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The immunomodulators (6-mercaptopurine, azathioprine and methotrexate) and biologics (infliximab, adalimumab, certolizumab and natalizumab) are medications essential in the management of pediatric inflammatory bowel disease. If properly utilized, these medications can control active disease, reduce corticosteroid exposure, induce remission, and promote normal growth and development. However, these medications also have significant toxicity and increase the risk of infections and lymphoma. This article provides information about the safety and efficacy of these medications in the treatment of children with Crohn's disease and ulcerative colitis.
Authors:
Athos Bousvaros
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert review of clinical immunology     Volume:  6     ISSN:  1744-8409     ISO Abbreviation:  Expert Rev Clin Immunol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101271248     Medline TA:  Expert Rev Clin Immunol     Country:  England    
Other Details:
Languages:  eng     Pagination:  659-66     Citation Subset:  IM    
Affiliation:
Inflammatory Bowel Disease Center, Children's Hospital Boston, MA 02115, USA. athos.bousvaros@childrens.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
6-Mercaptopurine / adverse effects,  therapeutic use
Antibodies, Monoclonal / adverse effects,  therapeutic use*
Child
Colitis, Ulcerative / drug therapy*
Crohn Disease / drug therapy*
Humans
Immunologic Factors / adverse effects,  therapeutic use*
Infection / chemically induced
Lymphoma / chemically induced
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Immunologic Factors; 50-44-2/6-Mercaptopurine

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


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