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Using Adalimumab to Treat Autoimmune Enteropathy
Hirsh D Trivedi1, Sarah E Shannahan1, Matthew Morrow2
1Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Autoimmune enteropathy, a rare gastrointestinal disorder causing severe diarrhea, presents limited treatment options. This case highlights successful management using adalimumab, an antitumor necrosis factor agent, offering a new therapeutic avenue.
Area of Science:
- Gastroenterology
- Immunology
- Internal Medicine
Background:
- Autoimmune enteropathy (AIE) is a rare condition in adults characterized by severe diarrhea and malnourishment.
- Diagnosis relies on clinical, serologic, and histologic findings.
- Current treatments focus on nutritional support and immunosuppression, primarily corticosteroids.
Observation:
- A challenging case of adult-onset autoimmune enteropathy is presented.
- The patient exhibited refractory symptoms despite conventional therapies.
Findings:
- Successful treatment of autoimmune enteropathy was achieved using adalimumab.
- Adalimumab, an antitumor necrosis factor agent, demonstrated efficacy in this rare condition.
Implications:
- This case suggests adalimumab as a potential therapeutic option for refractory autoimmune enteropathy.
- Further research into biologic agents for AIE is warranted.
- Expanding treatment strategies may improve outcomes for patients with this infrequent disease.
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