Anakinra treatment in patients with gout and type 2 diabetes

被引:0
作者
Antonio Vitale
Luca Cantarini
Donato Rigante
Marco Bardelli
Mauro Galeazzi
机构
[1] University of Siena,Research Center of Systemic Autoimmune and Autoinflammatory Diseases and Behçet’s Disease Clinic
[2] Università Cattolica Sacro Cuore,Institute of Pediatrics
来源
Clinical Rheumatology | 2015年 / 34卷
关键词
Anakinra; Autoinflammatory disorders; Gout; Interleukin (IL)-1β; Type 2 diabetes;
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摘要
We report three Caucasian patients affected by gout and type 2 diabetes, who were treated with the recombinant nonglycosylated human interleukin-1 receptor antagonist anakinra (100 mg/day subcutaneously) after an unsatisfactory or incomplete response to urate-lowering therapy, colchicine, nonsteroidal anti-inflammatory drugs, and prednisone. The remarkable clinical improvement in joint symptoms within 24 h and in glycemic control during a 6-month period gives anakinra a potential therapeutic role in the management of gout and type 2 diabetes. When anakinra was discontinued, a gout attack occurred within 3–25 days in all three patients. The contribution of anakinra in the treatment of such syndromes is encouraging, but requires further studies to establish its long-term efficacy.
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页码:981 / 984
页数:3
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