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Related Concept Videos

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF01:24

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab (Humira),...
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Myocarditis III: Medical Management

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Antiprotozoal Agents

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Related Experiment Videos

Update on bioagent therapy in sarcoidosis.

Vincent Cottin1

  • 1Hospices Civils de Lyon, Hôpital Louis Pradel, Service de Pneumologie - Centre de référence des maladies rares pulmonaires, Université de Lyon, Université Lyon I INRA, UMR754, IFR128, Lyon France.

F1000 Medicine Reports
|October 16, 2010
PubMed
Summary

Corticosteroids remain the primary treatment for sarcoidosis. Alternative therapies like methotrexate and infliximab show promise for refractory cases or severe manifestations, but require further study.

Related Experiment Videos

Area of Science:

  • Pulmonary Medicine
  • Immunology

Background:

  • Corticosteroids are the standard systemic therapy for sarcoidosis.
  • Refractory cases or those requiring long-term treatment pose challenges.

Purpose of the Study:

  • To review current and alternative treatment options for sarcoidosis.
  • To evaluate the role of biologics, specifically infliximab, in managing sarcoidosis.

Main Methods:

  • Literature review of treatment strategies for sarcoidosis.
  • Analysis of studies on alternative agents and biologic therapies.

Main Results:

  • Methotrexate is a viable alternative for refractory sarcoidosis.
  • Infliximab may offer modest benefits for steroid-resistant pulmonary sarcoidosis.
  • Infliximab's role in severe extrapulmonary sarcoidosis warrants careful risk-benefit assessment.

Conclusions:

  • Corticosteroids remain central to sarcoidosis management.
  • Methotrexate and infliximab represent important alternatives for specific patient groups.
  • Further research is essential to establish the definitive role and safety of infliximab in pulmonary sarcoidosis.