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葡萄膜炎的存在与白介素 (IL)-1 抑制剂阿那白滞素和卡那单抗治疗 Behçet 病的持续缓解相关。

The Presence of Uveitis Is Associated with a Sustained Response to the Interleukin (IL)-1 Inhibitors Anakinra and Canakinumab in Behçet's Disease.

机构信息

Ophthalmology Unit of the Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.

Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy.

出版信息

Ocul Immunol Inflamm. 2020;28(2):298-304. doi: 10.1080/09273948.2018.1511810. Epub 2018 Aug 27.

Abstract

: To identify factors associated with sustained response to interleukin (IL)-1 inhibition among demographic, clinical and therapeutic data in patients with Behçet disease (BD).: BD patients treated with anakinra or canakinumab were enrolled. Patients were divided into two groups according to the clinical response: group 1 included subjects showing a treatment duration of at least 52 weeks and no secondary inefficacy during the first follow-up year; the remaining patients were included in the group 2. Demographic, clinical and therapeutic data were analyzed to identify significant differences between groups.: Eighteen patients were included in group 1 and 18 patients in group 2. A better response to IL-1 inhibitors was significantly more common among patients with BD-related uveitis (= 0.006) and patients with a longer disease duration (= 0.03).: IL-1 blockade is effective in BD, especially in the subset of patients presenting eye involvement and in those with long-lasting disease.

摘要

目的

在白塞病(BD)患者的人口统计学、临床和治疗数据中,确定与白细胞介素(IL)-1 抑制的持续反应相关的因素。

方法

纳入接受阿那白滞素或卡那单抗治疗的 BD 患者。根据临床反应将患者分为两组:组 1 包括治疗持续时间至少 52 周且在第一年随访期间无二次疗效不佳的患者;其余患者纳入组 2。分析人口统计学、临床和治疗数据,以确定两组之间的显著差异。

结果

组 1 纳入 18 例患者,组 2 纳入 18 例患者。BD 相关葡萄膜炎患者(= 0.006)和疾病持续时间较长的患者(= 0.03)对 IL-1 抑制剂的反应更好。

结论

IL-1 阻断在 BD 中有效,尤其是在伴有眼部受累和疾病持续时间较长的患者亚组中。

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