Efficacy and safety of anakinra in tumor necrosis factor receptor-associated periodic syndrome (TRAPS) complicated by severe renal failure: a report after long-term follow-up and review of the literature

被引:0
作者
Stefano Gentileschi
Donato Rigante
Antonio Vitale
Jurgen Sota
Bruno Frediani
Mauro Galeazzi
Luca Cantarini
机构
[1] University of Siena,Research Center of Systemic Autoinflammatory Diseases, Behçet’s Disease Clinic and Rheumatology
[2] Università Cattolica Sacro Cuore,Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences
[3] Fondazione Policlinico Universitario “A. Gemelli”,Institute of Pediatrics
[4] Policlinico “Le Scotte”,undefined
来源
Clinical Rheumatology | 2017年 / 36卷
关键词
Anakinra; Autoinflammatory diseases; gene; TRAPS; Treatment;
D O I
暂无
中图分类号
学科分类号
摘要
Tumor necrosis factor receptor-associated periodic syndrome (TRAPS), caused by mutations in the TNFRSF1A gene, is the most frequent autosomal dominant autonflammatory disease displaying a relevant risk of reactive AA amyloidosis, if left untreated. Our report deals with one adult with TRAPS complicated by amyloidosis-related renal failure, treated with the recombinant human interleukin-1 receptor antagonist anakinra at a higher than conventional dosage. This treatment did not present any adverse event and led remarkably to the disappearance of all TRAPS-related manifestations and prompt decrease of laboratory abnormalities, including proteinuria. A review of the medical literature has been also considered to evaluate efficacy and safety of interleukin-1 inhibition in patients with TRAPS.
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页码:1687 / 1690
页数:3
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