Successful treatment of refractory adult onset Still's disease with rituximab

被引:14
作者
Belfeki, N. [1 ]
Khanfir, M. Smiti [1 ]
Said, F. [1 ]
Hamzaoui, A. [1 ]
Ben Salem, T. [1 ]
Ben Ghorbel, I. [1 ]
Lamloum, M. [1 ]
Houman, M. H. [1 ]
机构
[1] Univ Hosp La Rabta, Dept Internal Med, Rue Jebel Lakhdar, Tunis 1002, Tunisia
关键词
Adult-onset Still's disease; Treatment; Rituximab;
D O I
10.4081/reumatismo.2016.888
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Adult-onset Still's disease (AOSD) is an uncommon inflammatory condition of unknown origin. In chronic disease, joint involvement is often predominant and erosions are noted in one third of patients. Therapeutic strategies derive from observational data. Corticosteroids are usually the first-line treatment. With inadequate response to corticosteroids, methotrexate appears the best choice to control disease activity and allow for tapering of steroid use. For refractory disease, biological therapy seems the most promising. We report here the case of a 38-year-old female patient with AOSD refractory to cytotoxic agents, treated by rituximab infusion therapy with favorable outcome.
引用
收藏
页码:159 / 162
页数:4
相关论文
共 12 条
[1]   Refractory adult onset Still's disease and hypersensitivity to non-steroidal anti-inflammatory drugs and cyclo-oxygenase-2 inhibitors: are biological agents the solution? [J].
Aarntzen, EHJG ;
van Riel, PLCM ;
Barrera, P .
ANNALS OF THE RHEUMATIC DISEASES, 2005, 64 (10) :1523-1524
[2]   Successful treatment of refractory adult onset Still's disease with rituximab [J].
Ahmadi-Simab, K. ;
Lamprecht, P. ;
Jankowiak, C. ;
Gross, W. L. .
ANNALS OF THE RHEUMATIC DISEASES, 2006, 65 (08) :1117-1118
[3]   The potential utility of B cell-directed biologic therapy in autoimmune diseases [J].
Arkfeld, D. G. .
RHEUMATOLOGY INTERNATIONAL, 2008, 28 (03) :205-215
[4]  
Bartoloni E, 2009, CLIN EXP RHEUMATOL, V27, P888
[5]   Diagnosis and management of adult onset Still's disease [J].
Efthimiou, P ;
Paik, PK ;
Bielory, L .
ANNALS OF THE RHEUMATIC DISEASES, 2006, 65 (05) :564-572
[6]   Tocilizumab in Adult-onset Still's Disease: the Israeli Experience [J].
Elkayam, Ori ;
Jiries, Nizar ;
Dranitzki, Zvi ;
Kivity, Shay ;
Lidar, Merav ;
Levy, Ofer ;
Ablin, Jacob ;
Abu-Shakra, Mahmoud ;
Savargyl-Maman, Hagit ;
Padova, Hagit ;
Caspi, Dan ;
Rosner, Itzhak .
JOURNAL OF RHEUMATOLOGY, 2014, 41 (02) :244-247
[7]   Proposal for a new set of classification criteria for adult-onset Still disease [J].
Fautrel, B ;
Zing, E ;
Golmard, JL ;
Le Moel, G ;
Bissery, A ;
Rioux, C ;
Rozenberg, S ;
Piette, JC ;
Bourgeois, P .
MEDICINE, 2002, 81 (03) :194-200
[8]   Adult-onset Still's disease [J].
Kádár, J ;
Petrovicz, E .
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2004, 18 (05) :663-676
[9]   Two Cases of Adult-onset Still's Disease Treated with Tocilizumab that Achieved Tocilizumab-free Remission [J].
Kobayashi, Daisuke ;
Ito, Satoshi ;
Murasawa, Akira ;
Narita, Ichiei ;
Nakazono, Kiyoshi .
INTERNAL MEDICINE, 2015, 54 (20) :2675-2679
[10]   Adult-onset Still's disease - Pathogenesis, clinical manifestations and therapeutic advances [J].
Kontzias, Apostolos ;
Efthimiou, Petros .
DRUGS, 2008, 68 (03) :319-337