Mengi Gönen, Göğüş Feride
Department of Rheumatology, Muğla Sıtkı Koçman University, Education And Research Hospital, Muğla, Turkey.
Department of Physical Medicine and Rehabilitation, Medical Faculty of Gazi University, Ankara, Turkey.
Arch Rheumatol. 2017 Feb 12;32(1):67-70. doi: 10.5606/ArchRheumatol.2017.6055. eCollection 2017 Mar.
Anti-tumor necrosis factor alpha (anti-TNF-a) therapy has been widely used for the management of rheumatologic diseases. The most frequent adverse effects of anti-TNF-a therapy are infections and malignancies while sarcoidosis is a rare condition. On the other hand, anti-TNF-a therapy has been used in the treatment of sarcoidosis. Elucidation of this paradoxical issue is unclear. In this article, we report an ankylosing spondylitis patient who was diagnosed as sarcoidosis during the period of etanercept usage. Sarcoidosis as a possible adverse effect should be kept in mind during anti-TNF-a therapy.
抗肿瘤坏死因子α(抗TNF-α)疗法已广泛用于治疗风湿性疾病。抗TNF-α疗法最常见的不良反应是感染和恶性肿瘤,而结节病则是一种罕见病症。另一方面,抗TNF-α疗法已用于结节病的治疗。这种矛盾问题的阐释尚不清楚。在本文中,我们报告了一名强直性脊柱炎患者,该患者在使用依那西普期间被诊断为结节病。在抗TNF-α治疗期间应牢记结节病可能作为一种不良反应。