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Published on: July 20, 2019
Vasculitis induced by tumor necrosis factor-targeted therapies
Manuel Ramos-Casals1, Pilar Brito-Zerón, Maria-Jose Cuadrado
1Servei de Malalties Autoimmunes, Hospital Clínic, C/Villarroel, 170, 08036-Barcelona, Spain. mramos@clinic.ub.es
Tumor necrosis factor (TNF)-targeted therapies can trigger new autoimmune conditions like vasculitis. This review analyzes 132 cases of vasculitis that developed after anti-TNF treatment, examining clinical features and outcomes.
Area of Science:
- Rheumatology
- Immunology
- Dermatology
Background:
- Tumor necrosis factor (TNF)-targeted therapies are widely used for rheumatic and autoimmune diseases.
- Increased use and longer follow-up reveal emerging autoimmune processes linked to these therapies.
Purpose of the Study:
- To analyze clinical characteristics, outcomes, and associations of vasculitis developing after TNF-targeted therapy.
- To review all reported cases of vasculitis post-anti-TNF treatment.
Main Methods:
- Systematic review of reported cases of vasculitis.
- Analysis of clinical data, treatment, and outcomes for 132 patients.
- Categorization based on specific anti-TNF agents used.
Main Results:
- A total of 132 cases of vasculitis post-anti-TNF therapy were identified up to July 2008.
- The review details the clinical presentations and outcomes associated with these cases.
- Patterns of association between specific anti-TNF agents and vasculitis development are examined.
Conclusions:
- TNF-targeted therapies are associated with the development of vasculitis.
- Understanding these associations is crucial for managing patients on anti-TNF treatments.
- Further research is needed to elucidate the mechanisms and optimize treatment strategies.
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