Successful leukocytapheresis therapy in a patient with rheumatoid arthritis on maintenance hemodialysis

被引:1
作者
Maeshima, Keisuke [1 ]
Torigoe, Masataka [1 ]
Iwakura, Mikako [1 ]
Yamanaka, Kunitoshi [2 ]
Ishii, Koji [1 ]
机构
[1] Oita Univ, Fac Med, Dept Internal Med 1, Oita 87011, Japan
[2] Nakatsu Daiichi Hosp, Dept Internal Med, Oita, Japan
关键词
Leukocytapheresis (LCAP); Rheumatoid arthritis; Hemodialysis; Drug-free remission; INFLIXIMAB TREATMENT; ETANERCEPT; EFFICACY; LCAP;
D O I
10.3109/14397595.2013.874752
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a 44-year-old female undergoing maintenance hemodialysis in whom early-phase rheumatoid arthritis (RA) was successfully treated by leukocytapheresis (LCAP). The effects of prednisone, tacrolimus, and etanercept were limited, but LCAP was highly effective and its efficacy continued even after cessation of LCAP. Moreover, remission was maintained for 2 years after discontinuation of medication. LCAP may be an important treatment option for RA patients with end-stage renal failure who are on hemodialysis.
引用
收藏
页码:154 / 157
页数:4
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