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