Etanercept treatment of renal amyloidosis complicating rheumatoid arthritis

Rheumatoid arthritis and juvenile arthritis represent the commonest diseases complicated by AA amyloidosis in developed countries. Up to 5% of patients with rheumatoid arthritis will develop AA amyloidosis, with renal failure being the commonest cause of mortality. To date, treatment of this conditi...

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Veröffentlicht in:Internal medicine journal 2004-09, Vol.34 (9-10), p.570-572
Hauptverfasser: Smith, G. R., Tymms, K. E., Falk, M.
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container_issue 9-10
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container_title Internal medicine journal
container_volume 34
creator Smith, G. R.
Tymms, K. E.
Falk, M.
description Rheumatoid arthritis and juvenile arthritis represent the commonest diseases complicated by AA amyloidosis in developed countries. Up to 5% of patients with rheumatoid arthritis will develop AA amyloidosis, with renal failure being the commonest cause of mortality. To date, treatment of this condition has focused on suppressing the underlying inflammatory condition with drugs such as cyclophosphamide and chlorambucil, but both these drugs are associated with myelotoxicity, leukaemia and sterility. Tumour necrosis factor‐α (TNF‐α) is thought to be involved in amyloid deposition. The efficacy of anti‐TNF‐α therapy (etanercept) in the treatment of renal amyloidosis complicating rheumatoid arthritis is demonstrated here and the current scientific data on this subject are presented. (Intern Med J 2004; 34: 570−572)
doi_str_mv 10.1111/j.1445-5994.2004.00605.x
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R.</creatorcontrib><creatorcontrib>Tymms, K. E.</creatorcontrib><creatorcontrib>Falk, M.</creatorcontrib><title>Etanercept treatment of renal amyloidosis complicating rheumatoid arthritis</title><title>Internal medicine journal</title><addtitle>Intern Med J</addtitle><description>Rheumatoid arthritis and juvenile arthritis represent the commonest diseases complicated by AA amyloidosis in developed countries. Up to 5% of patients with rheumatoid arthritis will develop AA amyloidosis, with renal failure being the commonest cause of mortality. To date, treatment of this condition has focused on suppressing the underlying inflammatory condition with drugs such as cyclophosphamide and chlorambucil, but both these drugs are associated with myelotoxicity, leukaemia and sterility. Tumour necrosis factor‐α (TNF‐α) is thought to be involved in amyloid deposition. The efficacy of anti‐TNF‐α therapy (etanercept) in the treatment of renal amyloidosis complicating rheumatoid arthritis is demonstrated here and the current scientific data on this subject are presented. 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subjects AA amyloidosis
Amyloidosis
Amyloidosis - complications
Amyloidosis - drug therapy
Antirheumatic Agents - therapeutic use
Arthritis, Rheumatoid - complications
Biological and medical sciences
Etanercept
Female
General aspects
Humans
Immunoglobulin G - therapeutic use
Kidney Diseases - complications
Kidney Diseases - drug therapy
Medical sciences
Metabolic diseases
Middle Aged
nephrotic syndrome
Nephrotic Syndrome - complications
Nephrotic Syndrome - drug therapy
Other metabolic disorders
Receptors, Tumor Necrosis Factor - therapeutic use
rheumatoid arthritis
Serum Amyloid A Protein - analysis
Serum Amyloid A Protein - metabolism
treatment
tumour necrosis factor-α
title Etanercept treatment of renal amyloidosis complicating rheumatoid arthritis
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