The rapid efficacy of abatacept in a patient with rheumatoid vasculitis
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  • 作者:Wataru Fujii (1)
    Masataka Kohno (1)
    Hidetaka Ishino (1)
    Amane Nakabayashi (1)
    Kazuki Fujioka (1)
    Takashi Kida (1)
    Hidetake Nagahara (1)
    Ken Murakami (1)
    Kaoru Nakamura (1)
    Takahiro Seno (1)
    Aihiro Yamamoto (1)
    Yutaka Kawahito (1) kawahity@koto.kpu-m.ac.jp
  • 关键词:Abatacept – ; Cytotoxic T lymphocyte ; associated antigen 4 (CTLA4) – ; Rheumatoid vasculitis
  • 刊名:Modern Rheumatology
  • 出版年:2012
  • 出版时间:August 2012
  • 年:2012
  • 卷:22
  • 期:4
  • 页码:630-634
  • 全文大小:375.3 KB
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  • 作者单位:1. Inflammation and Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566 Japan
  • ISSN:1439-7609
文摘
We report a case of rheumatoid vasculitis (RV) that responded well to abatacept, a cytotoxic T lymphocyte-associated antigen 4 (CTLA4)-immunoglobulin fusion protein. A 38-year-old woman developed RV despite treatment with methotrexate and tumor necrosis factor (TNF) inhibitors. The effects of steroid therapy, immunoabsorption plasmapheresis, and interleukin-6 inhibitor were insufficient, however, administration of abatacept rapidly improved her clinical symptoms with almost normalization of the immunological findings. This is the first published case report of the successful treatment of RV with abatacept.

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