Source:http://linkedlifedata.com/resource/pubmed/id/12475006
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2002-12-11
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pubmed:abstractText |
After introduction of infliximab for the treatment of rheumatoid arthritis (RA), there have been many reports of patients developing asymptomatic higher rate of antinuclear antibodies and anti-dsDNA antibodies than in non-infliximab-treated patients. However, only five clinical drug-induced lupus (DIL) cases have been documented following treatment with infliximab, in RA and in Crohn's diseases. We report a case of a 69-year-old female with a 5 year history of RA, whowas successfully treated with low-dose methotrexate (MTX) and infliximab (initially 3 mg/kg and from the fourth infusion 5 mg/kg) for 23 weeks. Before the sixth infusion, she was diagnosed with DIL by both clinical features (fever > 38 degrees C, recurrence of active synovitis, myalgia, erythematous rash and general malaise) and laboratory findings (antinuclear antibodies 1:160, anti-double-stranded DNA positive by ELISA assay, decreased serum complement C3 andC4, hypergammaglobulinaemia, increased erythrocyte sedimentation rate). After discontinuation of treatment and therapy with oral prednisone, lupus resolved within 8 weeks.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0961-2033
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
753-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12475006-Aged,
pubmed-meshheading:12475006-Antibodies, Antinuclear,
pubmed-meshheading:12475006-Antibodies, Monoclonal,
pubmed-meshheading:12475006-Antirheumatic Agents,
pubmed-meshheading:12475006-Arthritis, Rheumatoid,
pubmed-meshheading:12475006-Female,
pubmed-meshheading:12475006-Humans,
pubmed-meshheading:12475006-Lupus Erythematosus, Systemic
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pubmed:year |
2002
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pubmed:articleTitle |
Drug-induced lupus following treatment with infliximab in rheumatoid arthritis.
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pubmed:affiliation |
Department of Rheumatology, Gaetano Pini Institute, Milan, Italy. enfav@tin.it
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pubmed:publicationType |
Journal Article,
Case Reports
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