The efficacy of canakinumab in the treatment of a patient with familial Mediterranean fever and longstanding destructive arthritis

Self-limited, non-destructive arthritis is a common clinical presentation of familial Mediterranean fever (FMF), while protracted, refractory to standard treatment arthritis is a rare manifestation of the disease, potentially resulting in severe damage and disability. 1 - 3 We report on a 25-year-ol...

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Veröffentlicht in:Annals of the rheumatic diseases 2011-07, Vol.70 (7), p.1347-1348
Hauptverfasser: Mitroulis, Ioannis, Skendros, Panagiotis, Oikonomou, Anastasia, Tzioufas, Athanasios G, Ritis, Konstantinos
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container_issue 7
container_start_page 1347
container_title Annals of the rheumatic diseases
container_volume 70
creator Mitroulis, Ioannis
Skendros, Panagiotis
Oikonomou, Anastasia
Tzioufas, Athanasios G
Ritis, Konstantinos
description Self-limited, non-destructive arthritis is a common clinical presentation of familial Mediterranean fever (FMF), while protracted, refractory to standard treatment arthritis is a rare manifestation of the disease, potentially resulting in severe damage and disability. 1 - 3 We report on a 25-year-old woman with FMF, homozygous for the MEFV gene M694V mutation, and with longstanding articular involvement affecting her hips and her left knee, effectively treated with canakinumab. Long-term remission was not achieved, as indicated by the clinical findings and the elevated inflammatory parameters (erythrocyte sedimentation rate (ESR) and C reactive protein (CRP)) during the follow-up period.
doi_str_mv 10.1136/ard.2010.146878
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subjects Adult
Antibodies, Monoclonal - therapeutic use
Antirheumatic Agents - therapeutic use
Arthritis
Arthritis - drug therapy
Biological and medical sciences
Diseases of the osteoarticular system
Familial Mediterranean Fever - drug therapy
Female
Humans
Inflammatory joint diseases
Interleukin-1beta - antagonists & inhibitors
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Miscellaneous. Osteoarticular involvement in other diseases
title The efficacy of canakinumab in the treatment of a patient with familial Mediterranean fever and longstanding destructive arthritis
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