Therapeutic Efficacy of Leukocytapheresis in a Pregnant Woman with Refractory Adult-onset Still's Disease

被引：9

作者：

Odai, Tsuyoshi ^{[1
]}

Isozaki, Takeo ^{[2
]}

Kasama, Tsuyoshi ^{[2
]}

Ogata, Hiroaki ^{[3
]}

Kinugasa, Eriko ^{[3
]}

机构：

[1] Ebina Gen Hosp, Div Gen Internal Med, Ebina, Kanagawa, Japan

[2] Showa Univ, Sch Med, Dept Med, Div Rheumatol, Shinagawa, Japan

[3] Showa Univ, Northern Yokohama Hosp, Dept Internal Med, Yokohama, Kanagawa, Japan

来源：

INTERNAL MEDICINE | 2015年 / 54卷 / 17期

关键词：

leukocytapheresis; adult-onset Still's disease; pregnancy; refractory; TUMOR-NECROSIS-FACTOR; ULCERATIVE-COLITIS; RHEUMATOID-ARTHRITIS; CYTOKINE LEVELS; MULTICENTER; GRANULOCYTE; APHERESIS; DELIVERY; AGENTS; FLUID;

D O I：

10.2169/internalmedicine.54.4271

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This is the first report of the efficacy of leukocytapheresis (LCAP) in a patient with refractory adult onset Still's disease (AOSD) during pregnancy. A 32-year-old Chinese pregnant woman with AOSD who had been treated with prednisolone failed to achieve disease stabilization. The patient's disease was successfully controlled with the initiation of LCAP. Subsequently, she gave birth via Caesarean section to a 1,878 g baby boy at 34 weeks of gestation while maintaining remission. We conclude that LCAP is an alternative treatment in pregnant patients with refractory AOSD, particularly in those concerned about potential teratogenic and other adverse effects.

引用

页码：2261 / 2266

页数：6

共 50 条

[21] Adult-onset Still's disease
Cush, JJ
BULLETIN ON THE RHEUMATIC DISEASES, 2000, 49 (06) : 1 - +
[22] Adult-onset Still's disease
Bagnari, Valentina
Colina, Matteo
Ciancio, Giovanni
Govoni, Marcello
Trotta, Francesco
RHEUMATOLOGY INTERNATIONAL, 2010, 30 (07) : CP9 - 862
[23] Adult-onset Still's disease
Castaneda, Santos
Vicente, Esther F.
Gonzalez-Gay, Miguel A.
MEDICINA CLINICA, 2016, 147 (05): : 217 - 222
[24] Adult-onset Still's disease
Dechant, C.
Krueger, K.
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2011, 136 (33) : 1669 - 1673
[25] Adult-onset Still’s disease
Valentina Bagnari
Matteo Colina
Giovanni Ciancio
Marcello Govoni
Francesco Trotta
Rheumatology International, 2010, 30 : 855 - 862
[26] Leflunomide and methotrexate combination in refractory adult-onset still's disease
Sayarlioglu, Mehmet
Ucmak, Hasan
Ozkaya, Mesut
Ucar, Mehmet Ali
Sayarlioglu, Hayriye
ANNALS OF PHARMACOTHERAPY, 2007, 41 (7-8) : 1319 - 1320
[27] REFRACTORY ADULT-ONSET STILL'S DISEASE SUCCESSFULLY TREATED WITH TOCILIXUMAB
Pantoja, A.
Gonzalez, L.
Arbelaez, A.
Restrepo, M.
Saavedra, P.
Ramirez, L.
Vasquez, G.
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2010, 16 (03) : S41 - S41
[28] Adult-onset Still's disease
Gerfaud-Valentin, Mathieu
Jamilloux, Yvan
Iwaz, Jean
Seve, Pascal
AUTOIMMUNITY REVIEWS, 2014, 13 (07) : 708 - 722
[29] Adult-onset Still's disease
Kádár, J
Petrovicz, E
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2004, 18 (05): : 663 - 676
[30] Clarithromycin in Adult-Onset Still's Disease A Potentially Useful Therapeutic
Thanou-Stavraki, Aikaterini
Aberle, Teresa
Aksentijevich, Ivona
Bane, Barbara L.
Harley, John B.
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2011, 17 (07) : 373 - 376

← 1 2 3 4 5 →