Effect of tumor necrosis factor inhibitors on rheumatoid arthritis-induced peripheral neuropathy A cohort study

In this historical cohort study, 236 patients with primary rheumatoid arthritis were treated with the tumor necrosis factor inhibitors, etanercept or infliximab (n = 80), or by conventional methods (n = 156). Results revealed that 11 patients developed varying types of peripheral neuropathy at 1-2 y...

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Veröffentlicht in:Neural regeneration research 2012-04, Vol.7 (11), p.862-866
Hauptverfasser: Wang, Naizhi, Guo, Yingying, Yang, Lili, Fu, Wenyi, Xu, Yanbing, Hou, Linxin, Zhao, Shuai, Zhang, Ning
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container_issue 11
container_start_page 862
container_title Neural regeneration research
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creator Wang, Naizhi
Guo, Yingying
Yang, Lili
Fu, Wenyi
Xu, Yanbing
Hou, Linxin
Zhao, Shuai
Zhang, Ning
description In this historical cohort study, 236 patients with primary rheumatoid arthritis were treated with the tumor necrosis factor inhibitors, etanercept or infliximab (n = 80), or by conventional methods (n = 156). Results revealed that 11 patients developed varying types of peripheral neuropathy at 1-2 years post-treatment (mean 16 months). The incidence of peripheral neuropathy in the tumor necrosis factor inhibitors treatment group was 8.8% (7/80), which was significantly higher than the conventional treatment group (2.6%; 4/156). The relative risk of developing peripheral neuropathy in the tumor necrosis factor inhibitors treatment group was 3.41 (95% confidence interval: 1.03 11.31). Comparison of the tumor necrosis factor inhibitors revealed that etanercept and infliximab had no significant difference in terms of inducing peripheral neuropathy. Experimental findings indicate that tumor necrosis factor inhibitors may increase the risk of peripheral neuropathy.
doi_str_mv 10.3969/j.issn.1673-5374.2012.11.011
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Results revealed that 11 patients developed varying types of peripheral neuropathy at 1-2 years post-treatment (mean 16 months). The incidence of peripheral neuropathy in the tumor necrosis factor inhibitors treatment group was 8.8% (7/80), which was significantly higher than the conventional treatment group (2.6%; 4/156). The relative risk of developing peripheral neuropathy in the tumor necrosis factor inhibitors treatment group was 3.41 (95% confidence interval: 1.03 11.31). Comparison of the tumor necrosis factor inhibitors revealed that etanercept and infliximab had no significant difference in terms of inducing peripheral neuropathy. Experimental findings indicate that tumor necrosis factor inhibitors may increase the risk of peripheral neuropathy.</description><identifier>ISSN: 1673-5374</identifier><identifier>EISSN: 1876-7958</identifier><identifier>DOI: 10.3969/j.issn.1673-5374.2012.11.011</identifier><identifier>PMID: 25737715</identifier><language>eng</language><publisher>India: Medknow Publications &amp; Media Pvt. Ltd</publisher><subject>Biopsy ; Cohort analysis ; Guillain-Barre syndrome ; Immunology ; Infections ; Monoclonal antibodies ; Necrosis ; Nervous system ; Neurological disorders ; Patients ; Peripheral neuropathy ; Rheumatoid arthritis ; Rheumatology ; Studies ; TNF inhibitors ; Tumor necrosis factor-TNF ; 周围神经 ; 抑制剂 ; 治疗 ; 病变 ; 类风湿关节炎 ; 置信区间 ; 肿瘤坏死因子 ; 队列研究</subject><ispartof>Neural regeneration research, 2012-04, Vol.7 (11), p.862-866</ispartof><rights>2012. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). 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source Medknow Open Access Medical Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Journals@Ovid Complete; PubMed Central Open Access
subjects Biopsy
Cohort analysis
Guillain-Barre syndrome
Immunology
Infections
Monoclonal antibodies
Necrosis
Nervous system
Neurological disorders
Patients
Peripheral neuropathy
Rheumatoid arthritis
Rheumatology
Studies
TNF inhibitors
Tumor necrosis factor-TNF
周围神经
抑制剂
治疗
病变
类风湿关节炎
置信区间
肿瘤坏死因子
队列研究
title Effect of tumor necrosis factor inhibitors on rheumatoid arthritis-induced peripheral neuropathy A cohort study
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