Development of germinoma during the treatment of systemic-onset juvenile idiopathic arthritis with infliximab

Abstract We report a 19-year-old patient with systemic-onset juvenile idiopathic arthritis (JIA) who developed a mediastinal germinoma during treatment with infliximab. Although the cancer risk of infliximab is controversial, this agent may have accelerated the growth of the germinoma. We conclude t...

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Veröffentlicht in:Modern rheumatology 2012-08, Vol.22 (4), p.621-624
Hauptverfasser: Takezaki, Shunichiro, Okura, Yuka, Ichikawa, Mizuho, Suzuki, Daisuke, Ohshima, Junjiro, Kaneda, Makoto, Cho, Yuko, Yamada, Masafumi, Kawamura, Nobuaki, Iguchi, Akihiro, Kobayashi, Ichiro, Ariga, Tadashi
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container_end_page 624
container_issue 4
container_start_page 621
container_title Modern rheumatology
container_volume 22
creator Takezaki, Shunichiro
Okura, Yuka
Ichikawa, Mizuho
Suzuki, Daisuke
Ohshima, Junjiro
Kaneda, Makoto
Cho, Yuko
Yamada, Masafumi
Kawamura, Nobuaki
Iguchi, Akihiro
Kobayashi, Ichiro
Ariga, Tadashi
description Abstract We report a 19-year-old patient with systemic-onset juvenile idiopathic arthritis (JIA) who developed a mediastinal germinoma during treatment with infliximab. Although the cancer risk of infliximab is controversial, this agent may have accelerated the growth of the germinoma. We conclude that the indications for tumor necrosis factor (TNF) inhibitors should be strictly decided and that a nationwide cohort study is necessary to assess the risk of cancer in patients with JIA exposed to biologics.
doi_str_mv 10.3109/s10165-011-0555-z
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source Oxford University Press Journals All Titles (1996-Current)
subjects Arthritis
Cancer
Medical treatment
Monoclonal antibodies
Rheumatology
Risk assessment
TNF inhibitors
title Development of germinoma during the treatment of systemic-onset juvenile idiopathic arthritis with infliximab
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