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Treatment of Patients with Systemic-onset Juvenile Idiopathic Arthritis with Tacrolimus

Overview
Journal Exp Ther Med
Specialty Pathology
Date 2019 Feb 21
PMID 30783487
Citations 8
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Abstract

Previously, few studies have reported treatment with tacrolimus (TAC) for patients with systemic-onset juvenile idiopathic arthritis (SOJIA). The aim of the current study was to investigate the effect of TAC on patients with SOJIA. Data were collected from the beginning of treatment with TAC to the 12-month endpoint, which was defined as the last follow-up. Clinical characteristics included sex, age, duration of the disease, TAC dose, erythrocyte sedimentation rate (ESR), C reactive protein (CRP), hemoglobin (Hb), platelet (PLT) and white blood cell (WB) levels, prednisolone (PDN) dose and interleukin-6 (IL-6) expression. The baseline characteristics of the patients were: ESR, 67.8±18.7 mm/h; CRP, 128.0±38.9 mg/l; Hb, 108.7±13.7 g/l; PLT, 416.8±90.1×10/l; WB, 26.0±10.2×10/l; PDN dose, 49.0±17.1 mg/day. Following 12 months of treatment with TAC, ESR, CRP, PLT and WB levels, and the dose of PDN required for the treatment of patients with SOIJA were all decreased compared with the baseline values. No serious adverse reactions were reported. Therefore, TAC could be an effective treatment for SOJIA.

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References
1.
Segarra A, Vila J, Pou L, Majo J, Arbos A, Quiles T . Combined therapy of tacrolimus and corticosteroids in cyclosporin-resistant or -dependent idiopathic focal glomerulosclerosis: a preliminary uncontrolled study with prospective follow-up. Nephrol Dial Transplant. 2002; 17(4):655-62. DOI: 10.1093/ndt/17.4.655. View

2.
Quartier P, Taupin P, Bourdeaut F, Lemelle I, Pillet P, Bost M . Efficacy of etanercept for the treatment of juvenile idiopathic arthritis according to the onset type. Arthritis Rheum. 2003; 48(4):1093-101. DOI: 10.1002/art.10885. View

3.
Yokota S . Interleukin 6 as a therapeutic target in systemic-onset juvenile idiopathic arthritis. Curr Opin Rheumatol. 2003; 15(5):581-6. DOI: 10.1097/00002281-200309000-00010. View

4.
Kondo H, Abe T, Hashimoto H, Uchida S, Irimajiri S, Hara M . Efficacy and safety of tacrolimus (FK506) in treatment of rheumatoid arthritis: a randomized, double blind, placebo controlled dose-finding study. J Rheumatol. 2004; 31(2):243-51. View

5.
Kimura Y, Pinho P, Walco G, Higgins G, Hummell D, Szer I . Etanercept treatment in patients with refractory systemic onset juvenile rheumatoid arthritis. J Rheumatol. 2005; 32(5):935-42. View