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英夫利昔单抗治疗一名 WHO 四级活动性狼疮性肾炎患者的安全性和有效性。

Safety and efficacy of infliximab in a patient with active WHO class IV lupus nephritis.

作者信息

Hayat Sawsan J, Uppal Sukhbir S, Narayanan Nampoory M R, Johny Kaivilayil V, Gupta Ramkumar, Al-Oun Mohammed

机构信息

Department of Medicine, Kuwait University and Mubarak Al-Kabeer Hospital, Kuwait.

出版信息

Clin Rheumatol. 2007 Jun;26(6):973-5. doi: 10.1007/s10067-006-0219-0. Epub 2006 Mar 25.

DOI:10.1007/s10067-006-0219-0
PMID:16565897
Abstract

Because disease activity in systemic lupus erythematosus correlates well with increased serum levels and activity of the cytokine tumor necrosis factor alpha (TNF-alpha), we report on the safety and efficacy of infliximab, a chimeric monoclonal antibody directed against TNF-alpha, given to a patient with active lupus with diffuse proliferative nephritis (WHO Class IV). This patient who failed to remit with a combination of full-dose steroids, mycophenolate mofetil, and cyclosporine, went into sustained remission with the addition of infliximab infusions.

摘要

由于系统性红斑狼疮的疾病活动与细胞因子肿瘤坏死因子α(TNF-α)的血清水平升高及活性密切相关,我们报告了英夫利昔单抗(一种针对TNF-α的嵌合单克隆抗体)用于一名患有活动性狼疮伴弥漫性增殖性肾炎(世界卫生组织IV级)患者的安全性和有效性。该患者在使用大剂量类固醇、霉酚酸酯和环孢素联合治疗后未能缓解,在加用英夫利昔单抗输注后实现了持续缓解。

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Clin Rheumatol. 2007 Jun;26(6):973-5. doi: 10.1007/s10067-006-0219-0. Epub 2006 Mar 25.
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本文引用的文献

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Induction of autoantibodies during prolonged treatment with infliximab.英夫利昔单抗长期治疗期间自身抗体的诱导产生。
J Rheumatol. 2003 Dec;30(12):2557-62.
2
Disease course in systemic lupus erythematosus: changes in health status, disease activity, and organ damage after 2 years.系统性红斑狼疮的疾病进程:2年后健康状况、疾病活动度及器官损伤的变化
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在人类狼疮性肾炎中,血管内免疫复合物募集并激活 slan 表达的 CD16+单核细胞。
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Arthritis Res Ther. 2008;10(1):202. doi: 10.1186/ar2341. Epub 2008 Jan 23.
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