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[Treatment of refractory anterior diffuse scleritis with infliximab]
D Díaz-Valle1, R Miguélez Sánchez, M C Fernández Espartero
1Unidad de Inflamación Ocular, Hospital General de Móstoles, Madrid, Spain. ddiazval@nacom.es
Case Report:
A 48-year old woman diagnosed with rheumatoid arthritis 10 years previously, developed severe anterior scleritis in the right eye (RE) refractory to conventional treatment. The patient was treated with 3 intravenous doses of Infliximab achieving complete remission of the scleral inflammation within four weeks.
Discussion:
The use of Infliximab, a blocker of tumour necrosis factor (TNFalpha) could be an alternative approach to the management of refractory scleritis, but further long-term investigations would be necessary to evaluate their safety and efficacy.
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