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Published on: February 8, 2019
Behçet disease-associated uveitis successfully treated with golimumab
Marina Mesquida1, María Victoria Hernández, Victor Llorenç
1Ophthalmology Department, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
This study reports the first use of golimumab (GLM), a TNF-α antagonist, for refractory Behçet disease-associated uveitis. GLM demonstrated effectiveness in a patient unresponsive to other biologic agents.
Area of Science:
- Ophthalmology
- Immunology
- Rheumatology
Background:
- Biologic agents, particularly TNF-α antagonists like infliximab and adalimumab, have advanced treatment for immune-mediated uveitis, especially Behçet disease-associated uveitis.
- Golimumab (GLM) is a fully human anti-TNF-α monoclonal antibody approved for inflammatory conditions such as rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
Observation:
- This report details the successful use of golimumab in a patient with Behçet uveitis that was refractory to other TNF-α blockers.
- Existing literature includes only two reports on GLM in uveitis, covering juvenile idiopathic arthritis-associated uveitis and idiopathic retinal vasculitis.
Findings:
- Golimumab proved effective in managing refractory Behçet uveitis.
- This represents the first documented case of golimumab use for Behçet uveitis.
Implications:
- Golimumab may be a viable therapeutic option for refractory Behçet uveitis.
- Further research is warranted to explore the efficacy and safety of golimumab in Behçet uveitis and other refractory uveitic conditions.
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