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聚乙二醇干扰素 α-2b 治疗 Behcet 葡萄膜炎的长期疗效:小病例系列。

Long-Term Efficacy of Pegylated Interferon Alpha-2b in Behçet's Uveitis: A Small Case Series.

机构信息

a Marmara University School of Medicine , Department of Ophthalmology , Istanbul , Turkey.

b Marmara University School of Medicine , Chief, Division of Rheumatology , Istanbul , Turkey.

出版信息

Ocul Immunol Inflamm. 2019;27(1):15-22. doi: 10.1080/09273948.2017.1332768. Epub 2017 Jul 12.

Abstract

PURPOSE

To assess the long-term efficacy and safety of pegylated interferon alpha-2b (peg-IFN-α-2b) for severe uveitis associated with Behçet's disease.

METHODS

Peg-IFN-α-2b was administrated at an initial dosage of 0,5-1,5 µg/kg/week. If any complications were observed, the dosage was tapered. Ocular examinations, systemic findings, and treatment compliance of the patients were evaluated.

RESULTS

Control of ocular inflammation was achieved in all patients (n = 4). The average increase in visual acuity after drug administration of 0,425 ± 0,125 logMAR was not statistically significant (Wilcoxon Test, p = 0,066) due to small number of cases. Any side-effects with laboratory abnormalities returned to baseline levels with reduction of the doses. Due to less frequent injections, increased satisfaction of the patients was noted.

CONCLUSIONS

This series highlights the peg-IFN-α-2b administration in Behçet's uveitis. Peg-IFN-α-2b has a potential long-term therapeutic effect for the treatment of severe uveitis. Efficacy with a reduced number of injections improved the quality of Behçet patients' lives.

摘要

目的

评估聚乙二醇干扰素 α-2b(peg-IFN-α-2b)治疗 Behcet 病相关重度葡萄膜炎的长期疗效和安全性。

方法

peg-IFN-α-2b 的初始剂量为 0.5-1.5μg/kg/周。如果观察到任何并发症,则减少剂量。评估患者的眼部检查、全身表现和治疗依从性。

结果

所有患者(n=4)的眼部炎症均得到控制。由于病例数较少,药物治疗后视力平均提高 0.425±0.125 logMAR 无统计学意义(Wilcoxon 检验,p=0.066)。任何实验室异常的副作用在减少剂量后均恢复到基线水平。由于注射次数减少,患者的满意度提高。

结论

本系列强调了 peg-IFN-α-2b 在 Behcet 葡萄膜炎中的应用。peg-IFN-α-2b 对治疗重度葡萄膜炎具有潜在的长期疗效。减少注射次数可提高 Behcet 患者的生活质量。

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