[Biological therapy in pediatric rheumatology].

Autor: Baranov AA, Alekseeva EI, Valieva SI, Bzarova TM, Denisova RV, Lisitsyn AO, Chistiakova EG, Sleptsova TV, Mitenko EV
Jazyk: ruština
Zdroj: Vestnik Rossiiskoi akademii meditsinskikh nauk [Vestn Ross Akad Med Nauk] 2011 (6), pp. 27-36.
Abstrakt: This article presents the unique experience of Research Centre of Children's Health in the treatment of 438 children with juvenile rheumatoid arthritis using biological preparations, viz. infliximab (270), adalimumab (55), ethanercept (25), rituximab (74), and tocilizumab (34). It is shown that differential biological therapy, unlike treatment with classical immunodepressants (methotrexate, cyclosporine, leflunomide, etc.), permits to achieve clinico-laboratory remission in 70% and markedly decrease activity of the disease in 20% of the patients within 1 year after the onset. It is concluded that treatment with gene-engineered drugs improves the quality of life of the children and their families, normal growth and development of the patients and affects prognosis of this formerly incurable chronic autoimmune disease.
Databáze: MEDLINE