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一例对肿瘤坏死因子抑制剂耐药的银屑病关节炎患者在使用白细胞介素-17A抑制剂司库奇尤单抗后病情改善

A Case of Recalcitrant Psoriatic Arthritis to TNF Inhibitors Improved After Administration of Secukinumab, an IL-17A Inhibitor.

作者信息

Pelechas Eleftherios, Memi Tereza, Voulgari Paraskevi V, Drosos Alexandros A

机构信息

Rheumatology Clinic, Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.

出版信息

Rheumatol Ther. 2017 Dec;4(2):509-513. doi: 10.1007/s40744-017-0084-0. Epub 2017 Oct 11.

DOI:10.1007/s40744-017-0084-0
PMID:29022197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5696296/
Abstract

Psoriatic arthritis (PsA) is a unique inflammatory arthritis due to the fact that patients have to deal not only with pain but also with their skin appearance, which may have a detrimental effect on their everyday lives and psychology. Treating a patient with PsA, improving both the musculoskeletal and skin symptoms is a challenge for the clinical rheumatologist. In this case, we present a patient of recalcitrant PsA to tumor necrosis factor inhibitors (TNFi) who had an exceptional improvement after administration of the interleukin-17A inhibitor (IL-17Ai) secukinumab.

摘要

银屑病关节炎(PsA)是一种独特的炎性关节炎,因为患者不仅要应对疼痛,还要面对皮肤外观问题,这可能会对他们的日常生活和心理产生不利影响。对于临床风湿病学家来说,治疗银屑病关节炎患者并改善其肌肉骨骼和皮肤症状是一项挑战。在此,我们报告一例对肿瘤坏死因子抑制剂(TNFi)耐药的银屑病关节炎患者,在使用白细胞介素-17A抑制剂(IL-17Ai)司库奇尤单抗后有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/5696296/f8d2eced21b9/40744_2017_84_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/5696296/f8d2eced21b9/40744_2017_84_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/5696296/f8d2eced21b9/40744_2017_84_Fig1_HTML.jpg

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Refractory Psoriasis Vulgaris with Itching Successfully Treated with the Anti-interleukin-17A Antibody Secukinumab: A Case of Secondary Failure of Other Biologic Agents.用抗白细胞介素-17A抗体司库奇尤单抗成功治疗难治性寻常型银屑病伴瘙痒:一例其他生物制剂继发失败的病例
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司库奇尤单抗抑制银屑病关节炎患者的白细胞介素-17A。
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Secukinumab, a human anti-interleukin-17A monoclonal antibody, in patients with psoriatic arthritis (FUTURE 2): a randomised, double-blind, placebo-controlled, phase 3 trial.司库奇尤单抗,一种人源抗白细胞介素-17A 单克隆抗体,治疗银屑病关节炎患者(未来 2 期):一项随机、双盲、安慰剂对照、3 期临床试验。
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