Improvement of Rheumatoid Arthritis and Autoimmune Hepatitis in a Patient Treated with the Tumor Necrosis Factor Inhibitor, Etanercept

被引:6
作者
Umekita, Kunihiko [1 ]
Miyauchi, Shunichi [1 ]
Ueno, Shiro [1 ]
Takajo, Ichiro [1 ]
Kusumoto, Kazunori [2 ]
Hasuike, Satoru [2 ]
Umekita, Yoshiko [3 ]
Tanaka, Hiroyuki [3 ]
Nagata, Kenji [2 ]
Nagatomo, Yasuhiro [1 ]
Kataoka, Hiroaki [3 ]
Shimoda, Kazuya [2 ]
Okayama, Akihiko [1 ]
机构
[1] Miyazaki Univ, Fac Med, Dept Internal Med, Div Rheumatol Infect Dis & Lab Med, Miyazaki, Japan
[2] Miyazaki Univ, Fac Med, Dept Internal Med, Div Gastroenterol & Hematol, Miyazaki, Japan
[3] Miyazaki Univ, Fac Med, Sect Oncopathol & Regenerat Biol, Miyazaki, Japan
关键词
autoimmune hepatitis; rheumatoid arthritis; anti-TNF therapy; PRIMARY BILIARY-CIRRHOSIS; ANTI-TNF THERAPY; DISEASES; LIVER;
D O I
10.2169/internalmedicine.50.4879
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of rheumatoid arthritis (RA) with autoimmune hepatitis (AIH) and Sjogren syndrome (SjS) that was treated with the tumor necrosis factor (TNF) inhibitor, etanercept (ETN). Both RA activity and transaminase levels improved as a result of treatment. Follow-up liver biopsy showed improvement of hepatitis. Although the efficacy of anti-TNF for RA patients with AIH remains controversial, this case suggests that treatment with ETN may result in a favorable clinical course in a certain subset of patients with RA and AIH.
引用
收藏
页码:1245 / 1249
页数:5
相关论文
共 20 条
  • [1] Hepatic manifestations of autoimmune rheumatic diseases
    Abraham, S
    Begum, S
    Isenberg, D
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2004, 63 (02) : 123 - 129
  • [2] Aoki Akiko, 2004, Nihon Rinsho Meneki Gakkai Kaishi, V27, P397, DOI 10.2177/jsci.27.397
  • [3] Czaja AJ, 2001, AM J GASTROENTEROL, V96, P1224
  • [4] Development of anti-TNF therapy for rheumatoid arthritis
    Feldmann, M
    [J]. NATURE REVIEWS IMMUNOLOGY, 2002, 2 (05) : 364 - 371
  • [5] The transfer of a laboratory based hypothesis to a clinically useful therapy: the development of anti-TNF therapy of rheumatoid arthritis
    Feldmann, M
    Brennan, FM
    Williams, RO
    Woody, JN
    Maini, RN
    [J]. BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2004, 18 (01): : 59 - 80
  • [6] A case of autoimmune hepatitis exacerbated by the administration of etanercept in the patient with rheumatoid arthritis
    Harada, Koji
    Akai, Yasuhiro
    Koyama, Sachi
    Ikenaka, Yasuhide
    Saito, Yoshihiko
    [J]. CLINICAL RHEUMATOLOGY, 2008, 27 (08) : 1063 - 1066
  • [7] Current and novel immunosuppressive therapy for autoimmune hepatitis
    Heneghan, MA
    McFarlane, IG
    [J]. HEPATOLOGY, 2002, 35 (01) : 7 - 13
  • [8] Clinical features of liver disturbance in rheumatoid diseases: clinicopathological study with special reference to the cause of liver disturbance
    Kojima, H
    Uemura, M
    Sakurai, S
    Ann, T
    Ishii, Y
    Imazu, H
    Yoshikawa, M
    Ichijima, K
    Fukui, H
    [J]. JOURNAL OF GASTROENTEROLOGY, 2002, 37 (08) : 617 - 625
  • [9] How to diagnose autoimmune hepatitis in systemic lupus erythematosus?
    Kooy, A
    DeHeide, LJM
    Engelkens, HJH
    Mulder, AH
    vanHagen, M
    Schalm, SW
    [J]. HEPATOLOGY, 1996, 23 (04) : 936 - 937
  • [10] Medical progress: Autoimmune hepatitis
    Krawitt, EL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2006, 354 (01) : 54 - 66