儿童非传染性尿道炎中的阿达利穆马布 (ADA):一项观察性研究
Rihab A Ghanma1,2, Laura Steeples1, Sasa Pockar1
1Uveitis/Ophthalmology, University of Manchester, Manchester, GBR.
Cureus
|May 27, 2024
概括
阿达利穆马布 (ADA) 有效治疗对其他疗法的耐药性儿科卵膜炎,表现出良好的耐受性和快速的炎症控制. 很少有患者在治疗期间产生抗药抗体.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 儿科卵膜炎是一种罕见的,危及视力的疾病,需要及时治疗.
- 皮质类固醇和疾病修饰性抗风湿药物 (DMARDs) 是一线治疗方法.
- 抗瘤坏死因子 (抗TNF) 生物药物被考虑用于耐火病例.
研究的目的:
- 评估阿达利穆马布 (ADA) 在儿科紫外炎患者的疗效和耐受性.
- 评估对常规疗法的耐药性患者的治疗结果.
主要方法:
- 在第三级儿科紫外炎诊所进行的回顾性观察性研究.
- 对42名儿科患者 (年龄在2-18岁) 进行了分析,他们接受了ADA治疗.
- 收集关于诊断,先前/同时服用药物,治疗持续时间和结果的数据,包括抗药抗体.
主要成果:
- 47.6%是异常性脑膜炎,40.5%与青少年异常性关节炎 (JIA) 相关.
- 78%的患者通过ADA获得了完全的炎症控制.
- 大多数患者在六个月内作出反应;全身类固醇使用显著减少.
- 在没有充分控制的8名患者中,有3名患者呈阳性抗药抗体.
结论:
- 阿达利穆马布 (ADA) 是有效的,并且在患有不耐生物性DMARDs耐药的卵膜炎的儿童中耐受性良好.
- DMARDs通常与ADA同时使用.
- 在这个队列中,抗药抗体的发展并不常见.
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