Anti-tumor necrosis factor (TNF) treatment has been a breakthrough in the management of juvenile idiopathic arthritis (JIA). However, they are associated with a significant risk of tuberculosis. We evaluated JIA patients who received etanercept treatment from an eastern Mediterranean country with moderate tuberculosis frequency. JIA patients under anti-TNF treatment, etanercept, were enrolled to the study. Chest X-rays, Tuberculin Skin Test (TST), clinical histories, family screening, and physical examinations were reviewed retrospectively. If TST was above 10 mm in a patient with one Bacillus Calmette-Guerin, cultures and, if needed, thorax computerized tomography were obtained. These patients received 1-2 months of isoniazid (INH) treatment which was followed by an INH prophylaxis for a period of 9 months while etanercept treatment was started. All were re-evaluated within 3 months intervals. A total of 36 patients under etanercept treatment were enrolled to the study. Mean age of the patients was 14.00 years (range 4-22 years). Median duration of disease was 36.00 months (range 4-216 months). Median duration of etanercept therapy was 11.5 months (3-48 months) at final evaluation. Seven patients had an initial TST score above 10 mm. All received INH treatment as outlined above. They had normal examinations and X-rays during follow-up. With proper initial evaluation, anti-TNF treatment is safe even in countries where tuberculosis is moderately frequent. An initial 1-2 months of INH treatment followed by chemoprophylaxis for 9 months is suggested for children with a TST of >10 mm.
机构:
Department of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, GaziantepDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Fatih Albayrak
Gökhan Keser
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Department of Rheumatology, Ege University Faculty of Medicine Hospital, İzmirDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Gökhan Keser
Serdar Oztuzcu
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Department of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, GaziantepDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Serdar Oztuzcu
Belkıs Nihan Coşkun
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机构:
Department of Rheumatology, Uludağ University Faculty of Medicine Hospital, BursaDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Belkıs Nihan Coşkun
Yavuz Pehlivan
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Department of Rheumatology, Uludağ University Faculty of Medicine Hospital, BursaDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Yavuz Pehlivan
Tuba Demirci Yıldırım
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Department of Rheumatology, Dokuz Eylul University Faculty of Medicine Hospital, İzmirDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Tuba Demirci Yıldırım
Gökçe Kenar Artın
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Department of Rheumatology, Dokuz Eylul University Faculty of Medicine Hospital, İzmirDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Gökçe Kenar Artın
Gözde Çetin Yıldırım
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Department of Rheumatology, Kahramanmaraş University Faculty of Medicine Hospital, KahramanmaraşDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Gözde Çetin Yıldırım
Bünyamin Kısacık
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机构:
Department of Rheumatology, Sanko University Medical Faculty Hospital, GaziantepDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
机构:
Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Brunelli, Juliana Barbosa
Bonfiglioli, Karina Rossi
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Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Bonfiglioli, Karina Rossi
Silva, Clovis A.
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Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Silva, Clovis A.
Kozu, Katia Tomie
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Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Kozu, Katia Tomie
Goldenstein-Schainberg, Claudia
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Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Goldenstein-Schainberg, Claudia
Bonfa, Eloisa
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机构:
Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Bonfa, Eloisa
Aikawa, Nadia Emi
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机构:
Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
机构:
Department of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, GaziantepDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Fatih Albayrak
Gökhan Keser
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Ege University Faculty of Medicine Hospital, İzmirDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Gökhan Keser
Serdar Oztuzcu
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, GaziantepDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Serdar Oztuzcu
Belkıs Nihan Coşkun
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Uludağ University Faculty of Medicine Hospital, BursaDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Belkıs Nihan Coşkun
Yavuz Pehlivan
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Uludağ University Faculty of Medicine Hospital, BursaDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Yavuz Pehlivan
Tuba Demirci Yıldırım
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Dokuz Eylul University Faculty of Medicine Hospital, İzmirDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Tuba Demirci Yıldırım
Gökçe Kenar Artın
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Dokuz Eylul University Faculty of Medicine Hospital, İzmirDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Gökçe Kenar Artın
Gözde Çetin Yıldırım
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Kahramanmaraş University Faculty of Medicine Hospital, KahramanmaraşDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
Gözde Çetin Yıldırım
Bünyamin Kısacık
论文数: 0引用数: 0
h-index: 0
机构:
Department of Rheumatology, Sanko University Medical Faculty Hospital, GaziantepDepartment of Rheumatology, Gaziantep University Hospital, Osmangazi Neighborhood, Şehitkamil, Gaziantep
机构:
Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Brunelli, Juliana Barbosa
Bonfiglioli, Karina Rossi
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Bonfiglioli, Karina Rossi
Silva, Clovis A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Silva, Clovis A.
Kozu, Katia Tomie
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Kozu, Katia Tomie
Goldenstein-Schainberg, Claudia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Goldenstein-Schainberg, Claudia
Bonfa, Eloisa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Bonfa, Eloisa
Aikawa, Nadia Emi
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil
Univ Sao Paulo, Fac Med, Div Reumatol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Unidade Reumatol Pediat, Sao Paulo, SP, Brazil