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Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
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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...
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Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
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Adalimumab induced interstitial lung disease.

Anum Aqsa1, Dikshya Sharma1, Michel Chalhoub1

  • 1Staten Island University Hospital, 522A seaview avenue, Staten Island, United States.

Respiratory Medicine Case Reports
|February 15, 2020
PubMed
Summary
This summary is machine-generated.

Tumor necrosis factor inhibitors can cause lung issues. A case study shows adalimumab, used for psoriasis, led to organizing pneumonia in an elderly patient.

Area of Science:

  • Pulmonary Medicine
  • Rheumatology
  • Dermatology

Background:

  • Tumor necrosis factor (TNF) inhibitors are associated with various pulmonary complications.

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  • Pre-treatment screening for latent tuberculosis and pre-existing lung disease is crucial before initiating TNF inhibitors.
  • Reported pulmonary adverse events include nodules, pneumonitis, fibrosis, autoimmune reactions, and infections.