Identifying Patient Candidates for IL-1 Inhibition: Lessons From Real-World Cases

Abstract A subgroup of patients with gouty arthritis have a chronic recurring form that is particularly difficult to treat. Such patients experience repeated flares and often have abundant tophi. Many also have underlying comorbidities, such as renal impairment, cardiovascular disease, gastrointesti...

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Veröffentlicht in:Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2015-10, Vol.82, p.eS17-eS29
Hauptverfasser: Avram, Annalina, Duarte, Cátia, Santos, Maria José, Papagoras, Charalampos, Ritis, Konstantinos, Scarpioni, Roberto, Schmidt, Wolfgang A, Skendros, Panagiotis
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container_title Joint, bone, spine : revue du rhumatisme
container_volume 82
creator Avram, Annalina
Duarte, Cátia
Santos, Maria José
Papagoras, Charalampos
Ritis, Konstantinos
Scarpioni, Roberto
Schmidt, Wolfgang A
Skendros, Panagiotis
description Abstract A subgroup of patients with gouty arthritis have a chronic recurring form that is particularly difficult to treat. Such patients experience repeated flares and often have abundant tophi. Many also have underlying comorbidities, such as renal impairment, cardiovascular disease, gastrointestinal disorders, obesity, and hypertension, which contraindicate the use of standard anti-inflammatory medications. Five patients with difficult to treat gouty arthritis who were either candidates and/or treated with anti-IL therapy are described.
doi_str_mv 10.1016/S1297-319X(15)30004-X
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subjects Aged
Anakinra
Anti-IL-1β therapy
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized
Arthritis, Gouty - drug therapy
Canakinumab
Chronic Disease
Colchicine - therapeutic use
Comorbidity
Febuxostat - therapeutic use
Gout Suppressants - therapeutic use
Gouty arthritis
Humans
Interleukin 1 Receptor Antagonist Protein - therapeutic use
Interleukin-1 - antagonists & inhibitors
Internal Medicine
Male
Patient Selection
Prednisolone - therapeutic use
Recurrence
Rheumatology
Tophaceous gout
title Identifying Patient Candidates for IL-1 Inhibition: Lessons From Real-World Cases
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